Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.73 / $23.21 / $39.24	Facility		$13.73	$23.21	$39.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.97 / $14.95 / $28.79	Professional		$10.97	$14.95	$28.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.31 / $240.44 / $360.68	Facility		$74.31	$240.44	$360.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.87 / $23.61 / $28.30	Professional		$14.87	$23.61	$28.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $463.00 / $480.00	Facility		$463.00	$463.00	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.04 / $21.06 / $31.71	Professional		$14.04	$21.06	$31.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.76 / $23.76 / $175.77	Professional		$15.76	$23.76	$175.77
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 $13.85 / $15.44 / $20.45	Professional		$13.85	$15.44	$20.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.94 / $32.34 / $32.34	Professional		$19.94	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $204.00 / $891.00 / $3,606.00	Facility		$204.00	$891.00	$3,606.00
United Facility/Professional Professional Modifier Low / Median / High Price $16.23 / $24.36 / $41.00	Professional		$16.23	$24.36	$41.00