Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.36 / $73.47 / $138.18	Facility		$36.36	$73.47	$138.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.67 / $37.36 / $61.94	Professional		$28.67	$37.36	$61.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.60 / $137.94 / $559.36	Facility		$49.60	$137.94	$559.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $33.92 / $33.92	Professional		$33.92	$33.92	$33.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.32 / $47.32 / $47.32	Facility		$47.32	$47.32	$47.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.32 / $47.32 / $47.32	Professional		$47.32	$47.32	$47.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $56.06 / $89.69	Professional		$30.23	$56.06	$89.69
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 $48.58 / $48.58 / $48.58	Professional		$48.58	$48.58	$48.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.30 / $24.30 / $35.65	Professional		$24.30	$24.30	$35.65
United Facility/Professional Professional Modifier Low / Median / High Price $42.25 / $49.16 / $50.70	Professional		$42.25	$49.16	$50.70