Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.29 / $37.82 / $51.96	Facility		$16.29	$37.82	$51.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.13 / $16.26 / $38.20	Professional		$15.13	$16.26	$38.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.41 / $60.38 / $198.74	Facility		$27.41	$60.38	$198.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.75 / $46.04 / $86.37	Facility		$19.75	$46.04	$86.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.36 / $23.13 / $28.91	Professional		$12.36	$23.13	$28.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.29 / $34.22 / $115.62	Professional		$19.29	$34.22	$115.62
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 $24.58 / $24.58 / $24.58	Professional		$24.58	$24.58	$24.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.95 / $12.97 / $23.64	Professional		$6.95	$12.97	$23.64
United Facility/Professional Facility Modifier Low / Median / High Price $12.97 / $18.91 / $22.69	Facility		$12.97	$18.91	$22.69
United Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $11.60 / $22.08	Professional		$7.94	$11.60	$22.08