Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.45 / $54.90 / $135.88	Facility		$27.45	$54.90	$135.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $28.49 / $57.57	Professional		$25.77	$28.49	$57.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.18 / $70.18 / $351.76	Facility		$44.18	$70.18	$351.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $23.09 / $25.77	Professional		$3.50	$23.09	$25.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.38 / $74.33 / $153.37	Facility		$42.38	$74.33	$153.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.73 / $38.42 / $56.24	Professional		$15.73	$38.42	$56.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $38.49 / $59.89 / $142.68	Professional		$38.49	$59.89	$142.68
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 $43.51 / $43.51 / $43.51	Professional		$43.51	$43.51	$43.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.16 / $45.52 / $50.21	Professional		$17.16	$45.52	$50.21
United Facility/Professional Professional Modifier Low / Median / High Price $20.07 / $34.47 / $50.21	Professional		$20.07	$34.47	$50.21