Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.93 / $34.68 / $52.02	Facility		$14.93	$34.68	$52.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.18 / $14.91 / $22.04	Professional		$9.18	$14.91	$22.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.14 / $54.88 / $182.22	Facility		$25.14	$54.88	$182.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $11.96 / $13.35	Professional		$3.50	$11.96	$13.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.11 / $42.64 / $80.41	Facility		$18.11	$42.64	$80.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.33 / $21.06 / $26.41	Professional		$11.33	$21.06	$26.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.21 / $31.48 / $145.44	Professional		$18.21	$31.48	$145.44
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 $22.54 / $22.54 / $22.54	Professional		$22.54	$22.54	$22.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.37 / $9.53 / $21.68	Professional		$6.37	$9.53	$21.68
United Facility/Professional Professional Modifier Low / Median / High Price $7.28 / $11.79 / $17.86	Professional		$7.28	$11.79	$17.86