Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $169.82	Facility		$33.88	$33.88	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $38.02 / $56.23	Professional		$33.11	$38.02	$56.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $251.19 / $575.44	Facility		$114.82	$251.19	$575.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $40.74 / $40.74	Professional		$32.36	$40.74	$40.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $93.33	Facility		$57.54	$57.54	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $72.44	Professional		$41.69	$41.69	$72.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $97.72 / $125.89	Professional		$53.70	$97.72	$125.89
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 $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $97.72	Professional		$67.61	$67.61	$97.72
United Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $42.66 / $120.23	Facility		$38.02	$42.66	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $50.12 / $74.13	Professional		$34.67	$50.12	$74.13