Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.39 / $45.04 / $61.87	Facility		$19.39	$45.04	$61.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.93 / $19.37 / $28.63	Professional		$11.93	$19.37	$28.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.65 / $69.94 / $236.69	Facility		$32.65	$69.94	$236.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $16.47 / $17.34	Professional		$3.50	$16.47	$17.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.53 / $55.42 / $104.23	Facility		$23.53	$55.42	$104.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.71 / $27.26 / $34.42	Professional		$14.71	$27.26	$34.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.65 / $42.96 / $206.09	Professional		$23.65	$42.96	$206.09
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 $29.28 / $29.28 / $29.28	Professional		$29.28	$29.28	$29.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.26 / $15.45 / $28.15	Professional		$11.26	$15.45	$28.15
United Facility/Professional Professional Modifier Low / Median / High Price $9.46 / $17.30 / $31.45	Professional		$9.46	$17.30	$31.45