Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.32 / $41.59 / $51.60	Facility		$19.32	$41.59	$51.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $20.03 / $58.50	Professional		$17.30	$20.03	$58.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.79 / $125.66 / $386.20	Facility		$30.79	$125.66	$386.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $18.88 / $22.48	Professional		$3.50	$18.88	$22.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.57 / $53.76 / $102.75	Facility		$18.57	$53.76	$102.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.95 / $25.61 / $34.08	Professional		$11.95	$25.61	$34.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $22.93 / $33.72 / $69.92	Professional		$22.93	$33.72	$69.92
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 $29.22 / $29.22 / $29.22	Professional		$29.22	$29.22	$29.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.26 / $15.42 / $28.10	Professional		$8.26	$15.42	$28.10
United Facility/Professional Facility Modifier Low / Median / High Price $9.52 / $44.96 / $44.96	Facility		$9.52	$44.96	$44.96
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $16.86 / $26.98	Professional		$13.49	$16.86	$26.98