Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $81.28	Facility		$42.66	$42.66	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $72.44 / $117.49	Professional		$39.81	$72.44	$117.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $169.82 / $169.82	Facility		$47.86	$169.82	$169.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $79.43 / $107.15	Professional		$46.77	$79.43	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Facility		$69.18	$69.18	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $85.11 / $154.88	Professional		$46.77	$85.11	$154.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $93.33 / $316.23	Professional		$43.65	$93.33	$316.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $97.72	Facility		$40.74	$40.74	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $75.86 / $134.90	Professional		$43.65	$75.86	$134.90