Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.23 / $53.21 / $2,248.82	Facility		$30.23	$53.21	$2,248.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $30.23 / $42.32	Professional		$30.23	$30.23	$42.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.69 / $106.00 / $392.70	Facility		$63.69	$106.00	$392.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.36 / $34.36 / $37.24	Professional		$34.36	$34.36	$37.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.23 / $30.23 / $30.23	Facility		$30.23	$30.23	$30.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $30.23 / $39.93	Professional		$30.23	$30.23	$39.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $26.98 / $42.32 / $90.54	Professional		$26.98	$42.32	$90.54
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 $39.29 / $39.29 / $39.29	Professional		$39.29	$39.29	$39.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.34 / $42.50 / $45.54	Professional		$31.34	$42.50	$45.54
United Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $30.23 / $33.14	Professional		$30.23	$30.23	$33.14