Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.57 / $40.84 / $56.08	Facility		$17.57	$40.84	$56.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.34 / $17.55 / $35.74	Professional		$16.34	$17.55	$35.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.76 / $65.86 / $214.57	Facility		$29.76	$65.86	$214.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $15.72 / $20.42	Professional		$4.50	$15.72	$20.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.33 / $50.33 / $93.81	Facility		$21.33	$50.33	$93.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.34 / $24.78 / $31.21	Professional		$13.34	$24.78	$31.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $21.44 / $39.51 / $262.45	Professional		$21.44	$39.51	$262.45
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 $26.55 / $26.55 / $26.55	Professional		$26.55	$26.55	$26.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.50 / $14.01 / $25.53	Professional		$7.50	$14.01	$25.53
United Facility/Professional Facility Modifier Low / Median / High Price $14.02 / $20.42 / $24.50	Facility		$14.02	$20.42	$24.50
United Facility/Professional Professional Modifier Low / Median / High Price $8.58 / $13.27 / $24.15	Professional		$8.58	$13.27	$24.15