Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.30 / $44.20 / $67.23	Facility		$19.30	$44.20	$67.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.21 / $17.80 / $31.64	Professional		$11.21	$17.80	$31.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.37 / $63.11 / $229.22	Facility		$31.37	$63.11	$229.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $16.39 / $17.26	Professional		$3.50	$16.39	$17.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.32 / $53.62 / $102.75	Facility		$21.32	$53.62	$102.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.64 / $27.26 / $34.08	Professional		$12.64	$27.26	$34.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.53 / $37.86 / $102.86	Professional		$23.53	$37.86	$102.86
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 $29.13 / $29.13 / $29.13	Professional		$29.13	$29.13	$29.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.23 / $11.50 / $28.01	Professional		$8.23	$11.50	$28.01
United Facility/Professional Professional Modifier Low / Median / High Price $9.41 / $14.28 / $22.41	Professional		$9.41	$14.28	$22.41