Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.32 / $39.42 / $112.52	Facility		$19.32	$39.42	$112.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.16 / $17.28 / $26.78	Professional		$11.16	$17.28	$26.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.55 / $56.49 / $221.40	Facility		$30.55	$56.49	$221.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $15.41 / $16.22	Professional		$3.50	$15.41	$16.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.02 / $51.16 / $96.79	Facility		$22.02	$51.16	$96.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.76 / $25.61 / $32.42	Professional		$13.76	$25.61	$32.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $22.12 / $31.61 / $63.30	Professional		$22.12	$31.61	$63.30
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 $27.39 / $27.39 / $27.39	Professional		$27.39	$27.39	$27.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.73 / $11.59 / $26.34	Professional		$7.73	$11.59	$26.34
United Facility/Professional Professional Modifier Low / Median / High Price $8.85 / $13.62 / $21.07	Professional		$8.85	$13.62	$21.07