Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.51 / $50.51 / $75.01	Facility		$23.51	$50.51	$75.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $22.39 / $34.70	Professional		$19.73	$22.39	$34.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.00 / $54.88 / $261.99	Facility		$32.00	$54.88	$261.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $19.97 / $21.02	Professional		$3.50	$19.97	$21.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.07 / $65.31 / $125.08	Facility		$19.07	$65.31	$125.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.07 / $31.39 / $41.81	Professional		$12.07	$31.39	$41.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $28.67 / $42.93 / $186.71	Professional		$28.67	$42.93	$186.71
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 $35.49 / $35.49 / $35.49	Professional		$35.49	$35.49	$35.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.03 / $15.91 / $34.13	Professional		$10.03	$15.91	$34.13
United Facility/Professional Facility Modifier Low / Median / High Price $11.79 / $11.79 / $27.30	Facility		$11.79	$11.79	$27.30
United Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $14.61 / $27.30	Professional		$10.54	$14.61	$27.30