Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.95 / $134.96 / $381.94	Facility		$21.95	$134.96	$381.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.82 / $14.85 / $23.71	Professional		$13.82	$14.85	$23.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.79 / $71.28 / $251.76	Facility		$22.79	$71.28	$251.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $11.92 / $13.30	Professional		$3.50	$11.92	$13.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.07 / $43.12 / $78.92	Facility		$12.07	$43.12	$78.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.03 / $19.82 / $26.33	Professional		$14.03	$19.82	$26.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.13 / $27.91 / $147.32	Professional		$18.13	$27.91	$147.32
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 $22.45 / $22.45 / $22.45	Professional		$22.45	$22.45	$22.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.85 / $17.27 / $21.59	Professional		$11.85	$17.27	$21.59
United Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $10.36 / $17.27	Professional		$7.25	$10.36	$17.27