Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.23 / $33.04 / $45.39	Facility		$14.23	$33.04	$45.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.22 / $14.21 / $37.72	Professional		$13.22	$14.21	$37.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.95 / $52.13 / $173.62	Facility		$23.95	$52.13	$173.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $12.72 / $16.52	Professional		$4.50	$12.72	$16.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.26 / $40.09 / $75.94	Facility		$17.26	$40.09	$75.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.79 / $20.23 / $25.30	Professional		$10.79	$20.23	$25.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.35 / $30.51 / $61.12	Professional		$17.35	$30.51	$61.12
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 $21.48 / $21.48 / $21.48	Professional		$21.48	$21.48	$21.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.64 / $11.33 / $20.65	Professional		$2.64	$11.33	$20.65
United Facility/Professional Professional Modifier Low / Median / High Price $6.94 / $12.70 / $19.29	Professional		$6.94	$12.70	$19.29