Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.36 / $71.23 / $111.79	Facility		$33.36	$71.23	$111.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.75 / $34.60 / $70.00	Professional		$31.75	$34.60	$70.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.61 / $75.00 / $427.79	Facility		$47.61	$75.00	$427.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $31.34 / $61.86	Professional		$4.50	$31.34	$61.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.52 / $90.36 / $187.62	Facility		$51.52	$90.36	$187.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.70 / $44.40 / $68.80	Professional		$16.70	$44.40	$68.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $46.81 / $65.59 / $126.82	Professional		$46.81	$65.59	$126.82
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 $52.91 / $52.91 / $52.91	Professional		$52.91	$52.91	$52.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.34 / $55.35 / $61.05	Professional		$17.34	$55.35	$61.05
United Facility/Professional Professional Modifier Low / Median / High Price $24.42 / $36.78 / $55.35	Professional		$24.42	$36.78	$55.35