Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.98 / $41.58 / $186.20	Facility		$18.98	$41.58	$186.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $18.04 / $24.26	Professional		$15.00	$18.04	$24.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.76 / $64.56 / $213.21	Facility		$29.76	$64.56	$213.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $14.84 / $15.62	Professional		$3.50	$14.84	$15.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.19 / $49.47 / $93.81	Facility		$21.19	$49.47	$93.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $24.78 / $31.21	Professional		$13.25	$24.78	$31.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $20.28 / $35.49 / $121.21	Professional		$20.28	$35.49	$121.21
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 $26.36 / $26.36 / $26.36	Professional		$26.36	$26.36	$26.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.45 / $13.91 / $25.35	Professional		$7.45	$13.91	$25.35
United Facility/Professional Facility Modifier Low / Median / High Price $11.68 / $40.56 / $40.56	Facility		$11.68	$40.56	$40.56
United Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $12.17 / $23.68	Professional		$8.52	$12.17	$23.68