Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.75 / $23.93 / $45.65	Facility		$16.75	$23.93	$45.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.53 / $16.75 / $74.23	Professional		$14.53	$16.75	$74.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.02 / $121.10 / $313.56	Facility		$43.02	$121.10	$313.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.17 / $21.87 / $41.92	Professional		$11.17	$21.87	$41.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.13 / $71.13 / $71.13	Facility		$71.13	$71.13	$71.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $29.84 / $113.36	Professional		$17.14	$29.84	$113.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $20.69 / $34.24 / $354.84	Professional		$20.69	$34.24	$354.84
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 $22.26 / $22.41 / $25.36	Professional		$22.26	$22.41	$25.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.97 / $32.34 / $32.34	Professional		$23.97	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $27.11 / $109.51	Professional		$15.61	$27.11	$109.51