Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.60 / $64.56 / $670.32	Facility		$25.60	$64.56	$670.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.52 / $18.18 / $41.24	Professional		$15.52	$18.18	$41.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.03 / $57.63 / $213.87	Facility		$31.03	$57.63	$213.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $16.22 / $17.07	Professional		$3.50	$16.22	$17.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.92 / $53.03 / $102.75	Facility		$19.92	$53.03	$102.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.15 / $24.39 / $32.52	Professional		$11.15	$24.39	$32.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.28 / $35.47 / $139.86	Professional		$23.28	$35.47	$139.86
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 $28.82 / $28.82 / $28.82	Professional		$28.82	$28.82	$28.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.14 / $12.78 / $27.71	Professional		$8.14	$12.78	$27.71
United Facility/Professional Professional Modifier Low / Median / High Price $9.31 / $13.30 / $22.84	Professional		$9.31	$13.30	$22.84