Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.63 / $38.64 / $53.06	Facility		$16.63	$38.64	$53.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.46 / $16.62 / $39.03	Professional		$15.46	$16.62	$39.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.01 / $60.38 / $203.11	Facility		$28.01	$60.38	$203.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.33 / $14.88 / $14.88	Professional		$13.33	$14.88	$14.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.75 / $46.78 / $89.34	Facility		$19.75	$46.78	$89.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.36 / $23.54 / $29.43	Professional		$12.36	$23.54	$29.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $30.91 / $150.00	Professional		$18.05	$30.91	$150.00
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 $25.12 / $25.12 / $25.12	Professional		$25.12	$25.12	$25.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.90 / $10.63 / $24.15	Professional		$3.90	$10.63	$24.15
United Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $12.84 / $26.43	Professional		$8.11	$12.84	$26.43