Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.76 / $41.03 / $50.72	Facility		$19.76	$41.03	$50.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.94 / $25.92 / $41.92	Professional		$15.94	$25.92	$41.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.94 / $100.37 / $321.08	Facility		$61.94	$100.37	$321.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.06 / $40.72 / $65.04	Professional		$21.06	$40.72	$65.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.51 / $166.26 / $240.27	Facility		$28.51	$166.26	$240.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.48 / $35.39 / $69.67	Professional		$18.48	$35.39	$69.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.12 / $52.44 / $121.97	Professional		$23.12	$52.44	$121.97
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 $20.55 / $22.43 / $53.08	Professional		$20.55	$22.43	$53.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $32.34 / $60.02	Professional		$15.30	$32.34	$60.02
United Facility/Professional Professional Modifier Low / Median / High Price $30.06 / $44.01 / $72.20	Professional		$30.06	$44.01	$72.20