Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.63 / $34.40 / $83.43	Facility		$17.63	$34.40	$83.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.24 / $14.99 / $17.20	Professional		$13.24	$14.99	$17.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.94 / $52.13 / $180.72	Facility		$24.94	$52.13	$180.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $13.24 / $17.20	Professional		$4.50	$13.24	$17.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.98 / $41.78 / $78.92	Facility		$17.98	$41.78	$78.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.24 / $21.06 / $26.41	Professional		$11.24	$21.06	$26.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $31.54 / $172.62	Professional		$18.05	$31.54	$172.62
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 $22.36 / $22.36 / $22.36	Professional		$22.36	$22.36	$22.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.32 / $10.12 / $21.50	Professional		$6.32	$10.12	$21.50
United Facility/Professional Professional Modifier Low / Median / High Price $7.22 / $10.96 / $17.72	Professional		$7.22	$10.96	$17.72