Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.83 / $36.78 / $50.52	Facility		$15.83	$36.78	$50.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.75 / $15.82 / $21.15	Professional		$9.75	$15.82	$21.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.66 / $56.49 / $193.28	Facility		$26.66	$56.49	$193.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $12.69 / $14.16	Professional		$3.50	$12.69	$14.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.22 / $45.21 / $84.88	Facility		$19.22	$45.21	$84.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.01 / $22.30 / $28.01	Professional		$12.01	$22.30	$28.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $35.59 / $115.62	Professional		$19.30	$35.59	$115.62
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 $23.91 / $23.91 / $23.91	Professional		$23.91	$23.91	$23.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.56 / $12.62 / $22.99	Professional		$7.56	$12.62	$22.99
United Facility/Professional Professional Modifier Low / Median / High Price $7.72 / $13.20 / $25.70	Professional		$7.72	$13.20	$25.70