Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.94 / $29.66 / $42.78	Facility		$17.94	$29.66	$42.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.68 / $14.35 / $16.04	Professional		$9.68	$14.35	$16.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.60 / $76.91 / $271.64	Facility		$24.60	$76.91	$271.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $13.63 / $14.35	Professional		$3.50	$13.63	$14.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.03 / $46.38 / $86.37	Facility		$13.03	$46.38	$86.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.35 / $21.48 / $28.40	Professional		$15.35	$21.48	$28.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $30.19 / $160.37	Professional		$19.57	$30.19	$160.37
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 $24.23 / $24.23 / $24.23	Professional		$24.23	$24.23	$24.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.32 / $12.79 / $18.64	Professional		$9.32	$12.79	$18.64
United Facility/Professional Professional Modifier Low / Median / High Price $7.83 / $11.18 / $18.64	Professional		$7.83	$11.18	$18.64