Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.48 / $42.96 / $64.44	Facility		$18.48	$42.96	$64.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.38 / $18.48 / $27.30	Professional		$11.38	$18.48	$27.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.14 / $56.49 / $225.77	Facility		$31.14	$56.49	$225.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $16.54 / $16.54	Professional		$3.50	$16.54	$16.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.46 / $52.88 / $98.28	Facility		$22.46	$52.88	$98.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.04 / $26.02 / $32.82	Professional		$14.04	$26.02	$32.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $22.55 / $35.64 / $345.40	Professional		$22.55	$35.64	$345.40
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 $27.92 / $27.92 / $27.92	Professional		$27.92	$27.92	$27.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.63 / $13.27 / $26.85	Professional		$6.63	$13.27	$26.85
United Facility/Professional Facility Modifier Low / Median / High Price $14.75 / $21.48 / $25.78	Facility		$14.75	$21.48	$25.78
United Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $13.62 / $22.12	Professional		$9.02	$13.62	$22.12