Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $63.10 / $204.17	Facility		$39.81	$63.10	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $52.48 / $83.18	Professional		$33.11	$52.48	$83.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $147.91 / $524.81	Facility		$53.70	$147.91	$524.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $64.57 / $100.00	Professional		$44.67	$64.57	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $79.43 / $104.71	Facility		$50.12	$79.43	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $61.66 / $107.15	Professional		$37.15	$61.66	$107.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $91.20 / $218.78	Professional		$48.98	$91.20	$218.78
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 $41.69 / $46.77 / $83.18	Professional		$41.69	$46.77	$83.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $32.36 / $33.11	Professional		$24.55	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $100.00 / $128.82	Facility		$58.88	$100.00	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $54.95 / $97.72	Professional		$36.31	$54.95	$97.72