Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $39.50 / $86.05	Facility		$16.98	$39.50	$86.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $16.20 / $25.11	Professional		$10.47	$16.20	$25.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.65 / $56.49 / $203.20	Facility		$27.65	$56.49	$203.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $13.63 / $15.21	Professional		$3.50	$13.63	$15.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.26 / $47.25 / $90.83	Facility		$19.26	$47.25	$90.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.80 / $23.95 / $29.94	Professional		$11.80	$23.95	$29.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $20.74 / $34.94 / $118.69	Professional		$20.74	$34.94	$118.69
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 $25.68 / $25.68 / $25.68	Professional		$25.68	$25.68	$25.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $10.86 / $24.69	Professional		$7.25	$10.86	$24.69
United Facility/Professional Facility Modifier Low / Median / High Price $10.40 / $39.50 / $39.50	Facility		$10.40	$39.50	$39.50
United Facility/Professional Professional Modifier Low / Median / High Price $8.30 / $12.60 / $21.08	Professional		$8.30	$12.60	$21.08