Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.93 / $48.60 / $66.77	Facility		$20.93	$48.60	$66.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.44 / $20.90 / $55.52	Professional		$19.44	$20.90	$55.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.22 / $76.83 / $255.39	Facility		$35.22	$76.83	$255.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $16.77 / $18.71	Professional		$3.50	$16.77	$18.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.41 / $59.71 / $111.68	Facility		$25.41	$59.71	$111.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.88 / $29.74 / $37.22	Professional		$15.88	$29.74	$37.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $25.52 / $46.38 / $158.53	Professional		$25.52	$46.38	$158.53
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 $31.59 / $31.59 / $31.59	Professional		$31.59	$31.59	$31.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.15 / $16.67 / $30.38	Professional		$12.15	$16.67	$30.38
United Facility/Professional Professional Modifier Low / Median / High Price $10.21 / $18.22 / $28.39	Professional		$10.21	$18.22	$28.39