Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.16 / $32.90 / $49.35	Facility		$14.16	$32.90	$49.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.72 / $14.15 / $20.91	Professional		$8.72	$14.15	$20.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.85 / $46.65 / $172.94	Facility		$23.85	$46.65	$172.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $12.67 / $12.67	Professional		$3.50	$12.67	$12.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.19 / $40.09 / $75.94	Facility		$17.19	$40.09	$75.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.75 / $20.23 / $25.30	Professional		$10.75	$20.23	$25.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.27 / $28.79 / $150.00	Professional		$17.27	$28.79	$150.00
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 $21.39 / $21.39 / $21.39	Professional		$21.39	$21.39	$21.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $9.05 / $12.09	Professional		$6.03	$9.05	$12.09
United Facility/Professional Facility Modifier Low / Median / High Price $16.45 / $17.27 / $40.63	Facility		$16.45	$17.27	$40.63
United Facility/Professional Professional Modifier Low / Median / High Price $6.91 / $10.10 / $16.45	Professional		$6.91	$10.10	$16.45