Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.65 / $30.45 / $62.52	Facility		$15.65	$30.45	$62.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.69 / $13.65 / $27.04	Professional		$9.69	$13.65	$27.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.98 / $38.40 / $163.68	Facility		$21.98	$38.40	$163.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $11.77 / $13.14	Professional		$3.50	$11.77	$13.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.78 / $40.81 / $78.92	Facility		$12.78	$40.81	$78.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.17 / $19.82 / $25.81	Professional		$8.17	$19.82	$25.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.91 / $27.30 / $228.99	Professional		$17.91	$27.30	$228.99
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 $22.18 / $22.18 / $22.18	Professional		$22.18	$22.18	$22.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.26 / $9.53 / $21.33	Professional		$6.26	$9.53	$21.33
United Facility/Professional Facility Modifier Low / Median / High Price $17.05 / $17.91 / $42.14	Facility		$17.05	$17.91	$42.14
United Facility/Professional Professional Modifier Low / Median / High Price $7.17 / $9.86 / $20.47	Professional		$7.17	$9.86	$20.47