Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.68 / $38.79 / $58.20	Facility		$16.68	$38.79	$58.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.27 / $16.71 / $24.66	Professional		$10.27	$16.71	$24.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.57 / $103.54 / $256.66	Facility		$26.57	$103.54	$256.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $14.94 / $14.94	Professional		$3.50	$14.94	$14.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.27 / $47.76 / $89.34	Facility		$20.27	$47.76	$89.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.67 / $23.54 / $29.61	Professional		$12.67	$23.54	$29.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $20.37 / $35.22 / $115.62	Professional		$20.37	$35.22	$115.62
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 $25.22 / $25.22 / $25.22	Professional		$25.22	$25.22	$25.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $10.67 / $19.39	Professional		$3.50	$10.67	$19.39
United Facility/Professional Professional Modifier Low / Median / High Price $8.15 / $11.90 / $19.98	Professional		$8.15	$11.90	$19.98