Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.30 / $37.86 / $102.52	Facility		$16.30	$37.86	$102.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.02 / $16.30 / $24.06	Professional		$10.02	$16.30	$24.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.44 / $60.38 / $199.01	Facility		$27.44	$60.38	$199.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $14.58 / $18.93	Professional		$4.50	$14.58	$18.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.79 / $46.04 / $87.86	Facility		$19.79	$46.04	$87.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.37 / $23.13 / $28.91	Professional		$12.37	$23.13	$28.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.88 / $34.26 / $262.45	Professional		$19.88	$34.26	$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 $24.61 / $24.61 / $24.61	Professional		$24.61	$24.61	$24.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.95 / $10.41 / $23.66	Professional		$6.95	$10.41	$23.66
United Facility/Professional Professional Modifier Low / Median / High Price $7.95 / $11.36 / $22.11	Professional		$7.95	$11.36	$22.11