Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.23 / $43.38 / $63.44	Facility		$22.23	$43.38	$63.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.08 / $21.34 / $23.31	Professional		$14.08	$21.34	$23.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.78 / $113.95 / $395.06	Facility		$35.78	$113.95	$395.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $20.87 / $27.11	Professional		$3.50	$20.87	$27.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.94 / $67.53 / $125.08	Facility		$18.94	$67.53	$125.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.24 / $31.39 / $41.30	Professional		$22.24	$31.39	$41.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $28.47 / $44.43 / $218.42	Professional		$28.47	$44.43	$218.42
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 $35.24 / $35.24 / $35.24	Professional		$35.24	$35.24	$35.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.56 / $18.60 / $27.11	Professional		$13.56	$18.60	$27.11
United Facility/Professional Facility Modifier Low / Median / High Price $27.11 / $28.47 / $66.95	Facility		$27.11	$28.47	$66.95
United Facility/Professional Professional Modifier Low / Median / High Price $11.39 / $14.91 / $27.11	Professional		$11.39	$14.91	$27.11