Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.57 / $31.56 / $43.35	Facility		$13.57	$31.56	$43.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.35 / $12.98 / $20.05	Professional		$8.35	$12.98	$20.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.61 / $77.73 / $208.73	Facility		$21.61	$77.73	$208.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $11.54 / $12.15	Professional		$3.50	$11.54	$12.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.39 / $37.76 / $72.95	Facility		$15.39	$37.76	$72.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.51 / $19.41 / $24.26	Professional		$9.51	$19.41	$24.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.57 / $28.17 / $193.76	Professional		$16.57	$28.17	$193.76
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 $20.51 / $20.51 / $20.51	Professional		$20.51	$20.51	$20.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.89 / $10.83 / $19.73	Professional		$7.89	$10.83	$19.73
United Facility/Professional Professional Modifier Low / Median / High Price $6.63 / $10.73 / $20.34	Professional		$6.63	$10.73	$20.34