Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.96 / $30.10 / $45.15	Facility		$12.96	$30.10	$45.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.49 / $13.12 / $13.84	Professional		$10.49	$13.12	$13.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.32 / $49.39 / $158.19	Facility		$22.32	$49.39	$158.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $10.38 / $11.59	Professional		$3.50	$10.38	$11.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.73 / $36.65 / $69.98	Facility		$15.73	$36.65	$69.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.07 / $16.18 / $22.64	Professional		$9.07	$16.18	$22.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.35 / $26.34 / $115.62	Professional		$15.35	$26.34	$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 $19.57 / $19.57 / $19.57	Professional		$19.57	$19.57	$19.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.52 / $10.05 / $18.80	Professional		$5.52	$10.05	$18.80
United Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $12.80 / $18.05	Professional		$9.02	$12.80	$18.05