Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $194.98 / $194.98	Facility		$14.13	$194.98	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $14.13 / $19.05	Professional		$12.88	$14.13	$19.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $131.83	Facility		$67.61	$67.61	$131.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $29.51 / $29.51	Professional		$25.12	$29.51	$29.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Facility		$66.07	$66.07	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $40.74 / $69.18	Professional		$10.00	$40.74	$69.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $38.02 / $50.12	Professional		$20.42	$38.02	$50.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $269.15 / $354.81	Facility		$22.39	$269.15	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $52.48 / $83.18	Professional		$38.90	$52.48	$83.18