Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.53 / $54.79 / $57.23	Facility		$27.53	$54.79	$57.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $24.57 / $33.36	Professional		$18.30	$24.57	$33.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.23 / $94.29 / $372.74	Facility		$51.23	$94.29	$372.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.11 / $35.00 / $38.65	Professional		$31.11	$35.00	$38.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $70.00 / $85.00	Facility		$60.00	$70.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.56 / $43.74 / $108.10	Professional		$23.56	$43.74	$108.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $31.95 / $47.73 / $84.76	Professional		$31.95	$47.73	$84.76
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $2,429.96 / $2,429.96 / $2,429.96	Facility		$2,429.96	$2,429.96	$2,429.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $41.37 / $42.00 / $44.42	Professional		$41.37	$42.00	$44.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $50.23	Professional		$32.34	$32.34	$50.23
United Facility/Professional Professional Modifier Low / Median / High Price $26.04 / $31.66 / $46.78	Professional		$26.04	$31.66	$46.78