Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.84 / $53.66 / $78.55	Facility		$24.84	$53.66	$78.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.05 / $42.68 / $63.44	Professional		$22.05	$42.68	$63.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.00 / $257.11 / $598.13	Facility		$54.00	$257.11	$598.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.75 / $54.37 / $95.26	Professional		$25.75	$54.37	$95.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Facility		$37.15	$37.15	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.16 / $52.32 / $94.61	Professional		$25.16	$52.32	$94.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $28.44 / $70.00 / $180.21	Professional		$28.44	$70.00	$180.21
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 $27.44 / $28.44 / $69.76	Professional		$27.44	$28.44	$69.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $78.88	Professional		$32.34	$32.34	$78.88
United Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $60.08 / $96.77	Professional		$35.54	$60.08	$96.77