Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.67 / $67.67 / $409.46	Facility		$21.67	$67.67	$409.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.82 / $16.07 / $31.43	Professional		$9.82	$16.07	$31.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.18 / $57.63 / $189.87	Facility		$26.18	$57.63	$189.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $12.83 / $13.91	Professional		$3.50	$12.83	$13.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.87 / $44.35 / $83.39	Facility		$18.87	$44.35	$83.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.80 / $21.89 / $27.61	Professional		$11.80	$21.89	$27.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.96 / $34.94 / $153.79	Professional		$18.96	$34.94	$153.79
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 $23.48 / $23.48 / $23.48	Professional		$23.48	$23.48	$23.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.63 / $12.39 / $22.58	Professional		$6.63	$12.39	$22.58
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $11.50 / $18.60	Professional		$7.59	$11.50	$18.60