Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.86 / $158.25 / $288.45	Facility		$37.86	$158.25	$288.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.03 / $21.38 / $48.23	Professional		$13.03	$21.38	$48.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.36 / $66.39 / $295.92	Facility		$27.36	$66.39	$295.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $20.07 / $26.07	Professional		$3.50	$20.07	$26.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.32 / $62.38 / $120.61	Facility		$21.32	$62.38	$120.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.40 / $30.15 / $39.75	Professional		$13.40	$30.15	$39.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.59 / $37.79 / $96.46	Professional		$23.59	$37.79	$96.46
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 $33.89 / $33.89 / $33.89	Professional		$33.89	$33.89	$33.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.42 / $17.88 / $32.59	Professional		$11.42	$17.88	$32.59
United Facility/Professional Professional Modifier Low / Median / High Price $9.34 / $13.18 / $26.85	Professional		$9.34	$13.18	$26.85