Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.45 / $33.72 / $199.42	Facility		$16.45	$33.72	$199.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.72 / $14.15 / $18.92	Professional		$8.72	$14.15	$18.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.53 / $87.78 / $217.67	Facility		$22.53	$87.78	$217.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $11.35 / $12.67	Professional		$3.50	$11.35	$12.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.19 / $40.09 / $75.94	Facility		$17.19	$40.09	$75.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.75 / $20.23 / $25.30	Professional		$10.75	$20.23	$25.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.27 / $31.85 / $223.71	Professional		$17.27	$31.85	$223.71
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 $21.39 / $21.39 / $21.39	Professional		$21.39	$21.39	$21.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.23 / $11.28 / $20.56	Professional		$8.23	$11.28	$20.56
United Facility/Professional Professional Modifier Low / Median / High Price $6.91 / $11.17 / $19.21	Professional		$6.91	$11.17	$19.21