Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.86 / $45.29 / $45.29	Facility		$31.86	$45.29	$45.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.71 / $31.01 / $44.13	Professional		$24.71	$31.01	$44.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.34 / $185.49 / $628.54	Facility		$64.34	$185.49	$628.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.79 / $401.02 / $869.17	Facility		$35.79	$401.02	$869.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.41 / $39.14 / $149.66	Professional		$21.41	$39.14	$149.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $28.34 / $43.64 / $102.53	Professional		$28.34	$43.64	$102.53
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 $37.01 / $38.36 / $41.72	Professional		$37.01	$38.36	$41.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $47.17	Professional		$32.34	$32.34	$47.17
United Facility/Professional Professional Modifier Low / Median / High Price $24.51 / $33.19 / $57.34	Professional		$24.51	$33.19	$57.34