Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.24 / $35.38 / $48.61	Facility		$15.24	$35.38	$48.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.15 / $15.21 / $36.28	Professional		$14.15	$15.21	$36.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.04 / $57.63 / $185.91	Facility		$26.04	$57.63	$185.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.48 / $43.50 / $81.90	Facility		$18.48	$43.50	$81.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.56 / $21.48 / $27.21	Professional		$11.56	$21.48	$27.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.57 / $34.24 / $123.08	Professional		$18.57	$34.24	$123.08
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 $23.00 / $23.00 / $23.00	Professional		$23.00	$23.00	$23.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.85 / $12.14 / $22.11	Professional		$8.85	$12.14	$22.11
United Facility/Professional Professional Modifier Low / Median / High Price $7.43 / $11.27 / $22.52	Professional		$7.43	$11.27	$22.52