Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.77 / $34.72 / $181.18	Facility		$18.77	$34.72	$181.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.39 / $12.23 / $23.85	Professional		$9.39	$12.23	$23.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.33 / $81.13 / $248.25	Facility		$25.33	$81.13	$248.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $12.95 / $14.45	Professional		$3.50	$12.95	$14.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.68 / $44.90 / $86.37	Facility		$14.68	$44.90	$86.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.47 / $21.48 / $28.40	Professional		$9.47	$21.48	$28.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.14 / $28.16 / $100.68	Professional		$19.14	$28.16	$100.68
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 $24.40 / $24.40 / $24.40	Professional		$24.40	$24.40	$24.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.37 / $9.39 / $18.77	Professional		$1.37	$9.39	$18.77
United Facility/Professional Professional Modifier Low / Median / High Price $7.88 / $11.26 / $18.77	Professional		$7.88	$11.26	$18.77