Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.83 / $33.74 / $46.33	Facility		$13.83	$33.74	$46.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.99 / $15.00 / $19.69	Professional		$12.99	$15.00	$19.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.80 / $53.80 / $177.31	Facility		$24.80	$53.80	$177.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $11.64 / $12.99	Professional		$3.50	$11.64	$12.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.62 / $40.92 / $77.43	Facility		$17.62	$40.92	$77.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.02 / $20.65 / $25.81	Professional		$11.02	$20.65	$25.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.87 / $27.73 / $62.42	Professional		$16.87	$27.73	$62.42
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 $21.93 / $21.93 / $21.93	Professional		$21.93	$21.93	$21.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.44 / $11.57 / $21.09	Professional		$8.44	$11.57	$21.09
United Facility/Professional Facility Modifier Low / Median / High Price $28.28 / $28.28 / $28.28	Facility		$28.28	$28.28	$28.28
United Facility/Professional Professional Modifier Low / Median / High Price $7.09 / $11.47 / $21.00	Professional		$7.09	$11.47	$21.00