Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.30 / $30.94 / $42.51	Facility		$13.30	$30.94	$42.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.38 / $12.78 / $32.38	Professional		$12.38	$12.78	$32.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.19 / $66.56 / $204.61	Facility		$21.19	$66.56	$204.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $10.67 / $11.91	Professional		$3.50	$10.67	$11.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.09 / $37.02 / $71.48	Facility		$15.09	$37.02	$71.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.25 / $19.00 / $23.75	Professional		$9.25	$19.00	$23.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.23 / $27.23 / $345.40	Professional		$16.23	$27.23	$345.40
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 $20.11 / $20.11 / $20.11	Professional		$20.11	$20.11	$20.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.39 / $8.51 / $15.47	Professional		$6.39	$8.51	$15.47
United Facility/Professional Facility Modifier Low / Median / High Price $15.47 / $16.23 / $38.21	Facility		$15.47	$16.23	$38.21
United Facility/Professional Professional Modifier Low / Median / High Price $6.50 / $10.54 / $16.55	Professional		$6.50	$10.54	$16.55