Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $48.00 / $78.84	Facility		$0.02	$48.00	$78.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $55.50 / $85.24	Professional		$0.02	$55.50	$85.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.32 / $48.90 / $287.82	Facility		$19.32	$48.90	$287.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $20.70 / $23.10	Professional		$3.50	$20.70	$23.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.96 / $71.76 / $138.47	Facility		$20.96	$71.76	$138.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.53 / $33.00 / $44.06	Professional		$8.53	$33.00	$44.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $42.30 / $100.00	Professional		$24.00	$42.30	$100.00
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 $39.00 / $39.00 / $39.00	Professional		$39.00	$39.00	$39.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.27 / $16.50 / $37.50	Professional		$5.27	$16.50	$37.50
United Facility/Professional Professional Modifier Low / Median / High Price $7.69 / $14.70 / $30.00	Professional		$7.69	$14.70	$30.00