Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.41 / $35.79 / $49.18	Facility		$15.41	$35.79	$49.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.49 / $15.26 / $22.75	Professional		$9.49	$15.26	$22.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.95 / $54.88 / $188.09	Facility		$25.95	$54.88	$188.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $12.35 / $13.78	Professional		$3.50	$12.35	$13.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.30 / $43.50 / $81.90	Facility		$18.30	$43.50	$81.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.44 / $21.89 / $27.36	Professional		$11.44	$21.89	$27.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.80 / $33.89 / $75.91	Professional		$18.80	$33.89	$75.91
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 $23.27 / $23.27 / $23.27	Professional		$23.27	$23.27	$23.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.58 / $12.28 / $22.38	Professional		$6.58	$12.28	$22.38
United Facility/Professional Professional Modifier Low / Median / High Price $7.52 / $11.90 / $23.10	Professional		$7.52	$11.90	$23.10