Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.60 / $68.86 / $159.87	Facility		$29.60	$68.86	$159.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $29.61 / $59.22	Professional		$26.51	$29.61	$59.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.76 / $60.25 / $354.17	Facility		$23.76	$60.25	$354.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $23.76 / $26.51	Professional		$3.50	$23.76	$26.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.62 / $84.42 / $157.84	Facility		$43.62	$84.42	$157.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.54 / $42.58 / $73.56	Professional		$17.54	$42.58	$73.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $39.59 / $60.25 / $155.01	Professional		$39.59	$60.25	$155.01
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 $44.76 / $44.76 / $44.76	Professional		$44.76	$44.76	$44.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.97 / $25.30 / $51.65	Professional		$8.97	$25.30	$51.65
United Facility/Professional Facility Modifier Low / Median / High Price $34.43 / $36.15 / $85.04	Facility		$34.43	$36.15	$85.04
United Facility/Professional Professional Modifier Low / Median / High Price $20.66 / $35.81 / $54.74	Professional		$20.66	$35.81	$54.74