Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.11 / $49.02 / $57.70	Facility		$21.11	$49.02	$57.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.87 / $21.36 / $42.72	Professional		$18.87	$21.36	$42.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.32 / $39.95 / $257.57	Facility		$19.32	$39.95	$257.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $16.91 / $18.87	Professional		$3.50	$16.91	$18.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.61 / $59.71 / $113.17	Facility		$25.61	$59.71	$113.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $29.74 / $37.61	Professional		$16.00	$29.74	$37.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $24.51 / $39.22 / $134.26	Professional		$24.51	$39.22	$134.26
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 $31.86 / $31.86 / $31.86	Professional		$31.86	$31.86	$31.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.31 / $13.48 / $18.01	Professional		$8.31	$13.48	$18.01
United Facility/Professional Professional Modifier Low / Median / High Price $8.30 / $14.71 / $28.62	Professional		$8.30	$14.71	$28.62