Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $82.72 / $152.56	Facility		$50.00	$82.72	$152.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.58 / $36.15 / $46.35	Professional		$15.58	$36.15	$46.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.55 / $67.20 / $395.66	Facility		$19.55	$67.20	$395.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $35.69 / $46.35	Professional		$3.50	$35.69	$46.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.46 / $110.88 / $212.94	Facility		$30.46	$110.88	$212.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.37 / $48.86 / $64.23	Professional		$24.37	$48.86	$64.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $41.72 / $65.34 / $200.00	Professional		$41.72	$65.34	$200.00
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 $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.03 / $23.18 / $57.94	Professional		$17.03	$23.18	$57.94
United Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $11.59 / $55.62	Facility		$9.77	$11.59	$55.62
United Facility/Professional Professional Modifier Low / Median / High Price $8.16 / $19.47 / $46.35	Professional		$8.16	$19.47	$46.35