Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.96 / $37.08 / $50.92	Facility		$15.96	$37.08	$50.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.83 / $15.94 / $23.56	Professional		$9.83	$15.94	$23.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.28 / $60.38 / $194.92	Facility		$27.28	$60.38	$194.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $13.57 / $14.28	Professional		$3.50	$13.57	$14.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.36 / $45.21 / $84.88	Facility		$19.36	$45.21	$84.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.11 / $22.72 / $28.41	Professional		$12.11	$22.72	$28.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.47 / $34.29 / $110.02	Professional		$19.47	$34.29	$110.02
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 $24.10 / $24.10 / $24.10	Professional		$24.10	$24.10	$24.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.81 / $10.19 / $13.62	Professional		$6.81	$10.19	$13.62
United Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $37.08 / $37.08	Facility		$10.68	$37.08	$37.08
United Facility/Professional Professional Modifier Low / Median / High Price $7.79 / $13.65 / $19.10	Professional		$7.79	$13.65	$19.10