Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $63.10	Facility		$30.90	$30.90	$63.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $31.62 / $54.95	Professional		$25.70	$31.62	$54.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $117.49 / $426.58	Facility		$74.13	$117.49	$426.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $46.77 / $46.77	Professional		$39.81	$46.77	$46.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $69.18	Facility		$36.31	$36.31	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $67.61	Professional		$26.92	$26.92	$67.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $75.86 / $93.33	Professional		$60.26	$75.86	$93.33
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 $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $45.71	Professional		$32.36	$32.36	$45.71
United Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $48.98 / $89.13	Facility		$22.91	$48.98	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $30.90 / $46.77	Professional		$22.91	$30.90	$46.77