Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Facility		$67.61	$67.61	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $79.43 / $125.89	Professional		$64.57	$79.43	$125.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $10.23 / $10.23	Professional		$10.23	$10.23	$10.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Facility		$44.67	$44.67	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $44.67 / $154.88	Professional		$38.02	$44.67	$154.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.49 / $19.05	Professional		$10.96	$13.49	$19.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
United Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $48.98 / $107.15	Facility		$5.37	$48.98	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $70.79 / $117.49	Professional		$52.48	$70.79	$117.49