Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.85 / $57.22 / $87.24	Facility		$23.85	$57.22	$87.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.60 / $23.85 / $57.22	Professional		$22.60	$23.85	$57.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.71 / $79.58 / $296.67	Facility		$40.71	$79.58	$296.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $22.39 / $22.39	Professional		$3.50	$22.39	$22.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.61 / $69.55 / $134.02	Facility		$27.61	$69.55	$134.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.37 / $35.52 / $44.40	Professional		$16.37	$35.52	$44.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $30.53 / $50.89 / $220.18	Professional		$30.53	$50.89	$220.18
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 $37.79 / $37.79 / $37.79	Professional		$37.79	$37.79	$37.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $19.95 / $36.35	Professional		$10.68	$19.95	$36.35
United Facility/Professional Professional Modifier Low / Median / High Price $12.21 / $17.45 / $30.56	Professional		$12.21	$17.45	$30.56