Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $32.36 / $58.88	Facility		$15.85	$32.36	$58.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $19.05 / $79.43	Professional		$14.13	$19.05	$79.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $89.13 / $316.23	Facility		$40.74	$89.13	$316.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $21.88 / $41.69	Professional		$11.22	$21.88	$41.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $70.79 / $107.15	Facility		$67.61	$70.79	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $29.51 / $134.90	Professional		$15.85	$29.51	$134.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $53.70 / $389.05	Professional		$20.42	$53.70	$389.05
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 $22.39 / $22.39 / $25.12	Professional		$22.39	$22.39	$25.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $30.20 / $97.72	Facility		$12.88	$30.20	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $26.92 / $112.20	Professional		$15.49	$26.92	$112.20