Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $158.49 / $389.05	Facility		$5.01	$158.49	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.01 / $14.13	Professional		$3.98	$5.01	$14.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $177.83 / $229.09	Facility		$72.44	$177.83	$229.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $10.47 / $11.48	Professional		$6.61	$10.47	$11.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $165.96 / $354.81	Facility		$12.02	$165.96	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $27.54 / $141.25	Professional		$12.02	$27.54	$141.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $12.02 / $114.82	Professional		$5.50	$12.02	$114.82
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 $6.61 / $6.76 / $7.76	Professional		$6.61	$6.76	$7.76
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 $199.53 / $354.81 / $467.74	Facility		$199.53	$354.81	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $8.13 / $25.70	Professional		$4.90	$8.13	$25.70