Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.55 / $36.11 / $49.61	Facility		$15.55	$36.11	$49.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.81 / $15.53 / $31.61	Professional		$14.81	$15.53	$31.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.24 / $65.65 / $189.87	Facility		$27.24	$65.65	$189.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.23 / $44.75 / $83.39	Facility		$20.23	$44.75	$83.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.59 / $21.89 / $32.02	Professional		$13.59	$21.89	$32.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.96 / $36.11 / $123.08	Professional		$18.96	$36.11	$123.08
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 $23.48 / $23.48 / $23.48	Professional		$23.48	$23.48	$23.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.63 / $12.05 / $22.58	Professional		$6.63	$12.05	$22.58
United Facility/Professional Facility Modifier Low / Median / High Price $11.99 / $36.11 / $36.11	Facility		$11.99	$36.11	$36.11
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $12.26 / $21.08	Professional		$7.59	$12.26	$21.08