Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.45 / $81.25 / $119.81	Facility		$43.45	$81.25	$119.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.38 / $41.38 / $64.14	Professional		$41.38	$41.38	$64.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.38 / $41.38 / $51.72	Facility		$41.38	$41.38	$51.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $39.31 / $41.38	Professional		$3.50	$39.31	$41.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.06 / $98.99 / $190.60	Facility		$54.06	$98.99	$190.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.07 / $44.47 / $69.89	Professional		$20.07	$44.47	$69.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $45.52 / $66.93 / $110.60	Professional		$45.52	$66.93	$110.60
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $53.79 / $53.79 / $53.79	Professional		$53.79	$53.79	$53.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $60.83	Professional		$30.00	$30.00	$60.83
United Facility/Professional Professional Modifier Low / Median / High Price $27.71 / $39.17 / $48.75	Professional		$27.71	$39.17	$48.75