Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.23 / $40.40 / $121.65	Facility		$24.23	$40.40	$121.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.53 / $20.32 / $26.76	Professional		$12.53	$20.32	$26.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.93 / $74.09 / $243.15	Facility		$34.93	$74.09	$243.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $16.30 / $18.20	Professional		$3.50	$16.30	$18.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.18 / $57.17 / $108.70	Facility		$24.18	$57.17	$108.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.12 / $28.91 / $36.14	Professional		$15.12	$28.91	$36.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $24.82 / $43.73 / $136.13	Professional		$24.82	$43.73	$136.13
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 $30.73 / $30.73 / $30.73	Professional		$30.73	$30.73	$30.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $11.82 / $23.64	Professional		$3.50	$11.82	$23.64
United Facility/Professional Professional Modifier Low / Median / High Price $9.93 / $14.19 / $27.03	Professional		$9.93	$14.19	$27.03