Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.67 / $31.80 / $47.70	Facility		$13.67	$31.80	$47.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.72 / $13.45 / $34.06	Professional		$12.72	$13.45	$34.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.50 / $46.65 / $163.52	Facility		$22.50	$46.65	$163.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $10.97 / $12.24	Professional		$3.50	$10.97	$12.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.58 / $38.04 / $72.95	Facility		$15.58	$38.04	$72.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.73 / $19.41 / $24.26	Professional		$9.73	$19.41	$24.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.70 / $28.84 / $111.89	Professional		$16.70	$28.84	$111.89
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 $20.67 / $20.67 / $20.67	Professional		$20.67	$20.67	$20.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.95 / $10.91 / $19.88	Professional		$7.95	$10.91	$19.88
United Facility/Professional Professional Modifier Low / Median / High Price $6.68 / $9.53 / $16.38	Professional		$6.68	$9.53	$16.38