Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $45.30 / $62.21	Facility		$19.50	$45.30	$62.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.12 / $19.48 / $46.43	Professional		$18.12	$19.48	$46.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.84 / $71.34 / $238.05	Facility		$32.84	$71.34	$238.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $17.44 / $17.44	Professional		$3.50	$17.44	$17.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.66 / $55.42 / $104.23	Facility		$23.66	$55.42	$104.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $27.67 / $34.82	Professional		$14.79	$27.67	$34.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.78 / $41.90 / $151.47	Professional		$23.78	$41.90	$151.47
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 $29.45 / $29.45 / $29.45	Professional		$29.45	$29.45	$29.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.31 / $12.46 / $28.31	Professional		$8.31	$12.46	$28.31
United Facility/Professional Professional Modifier Low / Median / High Price $9.51 / $17.41 / $23.10	Professional		$9.51	$17.41	$23.10