Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.68 / $45.94 / $53.76	Facility		$21.68	$45.94	$53.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.75 / $21.23 / $44.12	Professional		$19.75	$21.23	$44.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.10 / $40.58 / $259.31	Facility		$16.10	$40.58	$259.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.39 / $19.41 / $19.41	Professional		$17.39	$19.41	$19.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.60 / $60.32 / $116.15	Facility		$24.60	$60.32	$116.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.38 / $30.56 / $38.20	Professional		$15.38	$30.56	$38.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $25.21 / $44.12 / $143.59	Professional		$25.21	$44.12	$143.59
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 $32.77 / $32.77 / $32.77	Professional		$32.77	$32.77	$32.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.78 / $13.87 / $31.51	Professional		$3.78	$13.87	$31.51
United Facility/Professional Facility Modifier Low / Median / High Price $13.56 / $50.42 / $50.42	Facility		$13.56	$50.42	$50.42
United Facility/Professional Professional Modifier Low / Median / High Price $6.52 / $15.13 / $25.97	Professional		$6.52	$15.13	$25.97