Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.41 / $40.44 / $55.54	Facility		$17.41	$40.44	$55.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $17.39 / $25.70	Professional		$10.72	$17.39	$25.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.76 / $65.86 / $212.53	Facility		$29.76	$65.86	$212.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $13.95 / $15.57	Professional		$3.50	$13.95	$15.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.12 / $49.47 / $93.81	Facility		$21.12	$49.47	$93.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.20 / $24.78 / $30.98	Professional		$13.20	$24.78	$30.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $21.23 / $39.10 / $253.65	Professional		$21.23	$39.10	$253.65
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 $26.29 / $26.29 / $26.29	Professional		$26.29	$26.29	$26.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.43 / $11.12 / $14.85	Professional		$7.43	$11.12	$14.85
United Facility/Professional Facility Modifier Low / Median / High Price $20.22 / $21.23 / $49.94	Facility		$20.22	$21.23	$49.94
United Facility/Professional Professional Modifier Low / Median / High Price $8.49 / $12.60 / $20.83	Professional		$8.49	$12.60	$20.83