Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.31 / $63.78 / $93.28	Facility		$29.31	$63.78	$93.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.87 / $30.38 / $66.12	Professional		$17.87	$30.38	$66.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.52 / $27.52 / $154.47	Facility		$27.52	$27.52	$154.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $26.14 / $27.52	Professional		$3.50	$26.14	$27.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.53 / $85.49 / $163.80	Facility		$29.53	$85.49	$163.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $40.89 / $54.21	Professional		$18.20	$40.89	$54.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $36.45 / $62.55 / $132.24	Professional		$36.45	$62.55	$132.24
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 $46.46 / $46.46 / $46.46	Professional		$46.46	$46.46	$46.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.92 / $19.66 / $44.68	Professional		$8.92	$19.66	$44.68
United Facility/Professional Facility Modifier Low / Median / High Price $35.74 / $37.53 / $88.28	Facility		$35.74	$37.53	$88.28
United Facility/Professional Professional Modifier Low / Median / High Price $10.38 / $21.00 / $37.40	Professional		$10.38	$21.00	$37.40