Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.57 / $29.20 / $40.10	Facility		$12.57	$29.20	$40.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.74 / $12.56 / $18.55	Professional		$7.74	$12.56	$18.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.17 / $46.65 / $153.41	Facility		$21.17	$46.65	$153.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $11.24 / $11.24	Professional		$3.50	$11.24	$11.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.26 / $35.83 / $67.01	Facility		$15.26	$35.83	$67.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.53 / $17.76 / $22.41	Professional		$9.53	$17.76	$22.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.33 / $28.24 / $130.53	Professional		$15.33	$28.24	$130.53
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 $18.98 / $18.98 / $18.98	Professional		$18.98	$18.98	$18.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.30 / $10.02 / $18.25	Professional		$7.30	$10.02	$18.25
United Facility/Professional Professional Modifier Low / Median / High Price $6.13 / $11.21 / $14.60	Professional		$6.13	$11.21	$14.60