Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.29 / $42.54 / $58.42	Facility		$18.29	$42.54	$58.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.02 / $17.44 / $43.72	Professional		$17.02	$17.44	$43.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.15 / $41.16 / $218.83	Facility		$24.15	$41.16	$218.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $14.68 / $16.38	Professional		$3.50	$14.68	$16.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.75 / $50.89 / $98.28	Facility		$20.75	$50.89	$98.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $26.02 / $32.53	Professional		$12.49	$26.02	$32.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $22.33 / $35.64 / $78.70	Professional		$22.33	$35.64	$78.70
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 $27.65 / $27.65 / $27.65	Professional		$27.65	$27.65	$27.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.81 / $11.70 / $26.59	Professional		$7.81	$11.70	$26.59
United Facility/Professional Professional Modifier Low / Median / High Price $8.93 / $12.76 / $22.35	Professional		$8.93	$12.76	$22.35