Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.34 / $41.11 / $66.84	Facility		$23.34	$41.11	$66.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.36 / $20.87 / $23.34	Professional		$14.36	$20.87	$23.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.78 / $111.86 / $395.06	Facility		$35.78	$111.86	$395.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $19.82 / $20.87	Professional		$3.50	$19.82	$20.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.53 / $64.84 / $125.08	Facility		$30.53	$64.84	$125.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.78 / $31.70 / $41.30	Professional		$22.78	$31.70	$41.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $28.47 / $47.44 / $350.53	Professional		$28.47	$47.44	$350.53
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 $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