Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.13 / $49.75 / $73.87	Facility		$23.13	$49.75	$73.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.71 / $22.05 / $49.75	Professional		$20.71	$22.05	$49.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.59 / $52.13 / $258.00	Facility		$30.59	$52.13	$258.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.98 / $64.33 / $123.59	Facility		$18.98	$64.33	$123.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.07 / $30.98 / $40.79	Professional		$12.07	$30.98	$40.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $28.23 / $40.34 / $106.29	Professional		$28.23	$40.34	$106.29
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 $34.96 / $34.96 / $34.96	Professional		$34.96	$34.96	$34.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.01 / $14.79 / $33.61	Professional		$7.01	$14.79	$33.61
United Facility/Professional Professional Modifier Low / Median / High Price $11.29 / $14.61 / $26.89	Professional		$11.29	$14.61	$26.89