Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $37.15 / $229.09	Facility		$19.95	$37.15	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.95 / $69.18	Professional		$15.14	$19.95	$69.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $87.10 / $257.04	Facility		$33.11	$87.10	$257.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $31.62 / $38.02	Professional		$26.92	$31.62	$38.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $75.86 / $100.00	Facility		$50.12	$75.86	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $33.11 / $72.44	Professional		$17.78	$33.11	$72.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $33.88 / $107.15	Professional		$21.88	$33.88	$107.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $31.62	Professional		$29.51	$29.51	$31.62
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 $23.44 / $26.30 / $39.81	Facility		$23.44	$26.30	$39.81
United Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $26.92 / $47.86	Professional		$17.38	$26.92	$47.86