Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.97 / $30.16 / $61.40	Facility		$12.97	$30.16	$61.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.61 / $13.44 / $30.46	Professional		$11.61	$13.44	$30.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.41 / $35.67 / $158.47	Facility		$20.41	$35.67	$158.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $11.61 / $15.08	Professional		$4.50	$11.61	$15.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.75 / $36.65 / $69.98	Facility		$15.75	$36.65	$69.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.84 / $18.59 / $23.24	Professional		$9.84	$18.59	$23.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.83 / $26.39 / $151.47	Professional		$15.83	$26.39	$151.47
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 $19.60 / $19.60 / $19.60	Professional		$19.60	$19.60	$19.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.54 / $8.28 / $11.08	Professional		$5.54	$8.28	$11.08
United Facility/Professional Professional Modifier Low / Median / High Price $6.33 / $9.05 / $15.53	Professional		$6.33	$9.05	$15.53