Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.72 / $43.72 / $82.83	Facility		$43.72	$43.72	$82.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.18 / $62.11 / $91.73	Professional		$39.18	$62.11	$91.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $170.09 / $170.09 / $170.09	Facility		$170.09	$170.09	$170.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.15 / $78.58 / $107.04	Professional		$47.15	$78.58	$107.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.90 / $68.90 / $68.90	Facility		$68.90	$68.90	$68.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.64 / $86.75 / $158.19	Professional		$47.64	$86.75	$158.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $40.34 / $81.84 / $306.22	Professional		$40.34	$81.84	$306.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $120.36	Professional		$32.34	$32.34	$120.36
United Facility/Professional Professional Modifier Low / Median / High Price $68.29 / $97.20 / $166.97	Professional		$68.29	$97.20	$166.97