Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.22 / $34.00 / $89.47	Facility		$15.22	$34.00	$89.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.45 / $14.62 / $17.00	Professional		$12.45	$14.62	$17.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.80 / $53.80 / $178.67	Facility		$24.80	$53.80	$178.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $12.44 / $13.09	Professional		$3.50	$12.44	$13.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.52 / $41.58 / $78.92	Facility		$17.52	$41.58	$78.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $20.65 / $25.81	Professional		$10.96	$20.65	$25.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.85 / $32.45 / $110.02	Professional		$17.85	$32.45	$110.02
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 $22.10 / $22.10 / $22.10	Professional		$22.10	$22.10	$22.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.24 / $11.66 / $21.25	Professional		$6.24	$11.66	$21.25
United Facility/Professional Professional Modifier Low / Median / High Price $7.14 / $11.39 / $19.59	Professional		$7.14	$11.39	$19.59