Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.05 / $36.67 / $59.46	Facility		$17.05	$36.67	$59.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.26 / $16.25 / $36.67	Professional		$15.26	$16.25	$36.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.74 / $52.13 / $190.10	Facility		$27.74	$52.13	$190.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $13.68 / $15.26	Professional		$3.50	$13.68	$15.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.54 / $47.40 / $90.83	Facility		$17.54	$47.40	$90.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $23.81 / $29.94	Professional		$10.39	$23.81	$29.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $20.81 / $32.51 / $119.35	Professional		$20.81	$32.51	$119.35
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 $25.77 / $25.77 / $25.77	Professional		$25.77	$25.77	$25.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.28 / $10.90 / $14.56	Professional		$7.28	$10.90	$14.56
United Facility/Professional Facility Modifier Low / Median / High Price $19.82 / $20.81 / $48.96	Facility		$19.82	$20.81	$48.96
United Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $12.22 / $23.78	Professional		$8.32	$12.22	$23.78