Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.41 / $34.89 / $191.20	Facility		$15.41	$34.89	$191.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $20.70 / $122.00	Professional		$14.70	$20.70	$122.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.37 / $77.19 / $185.63	Facility		$31.37	$77.19	$185.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $12.37 / $13.81	Professional		$3.50	$12.37	$13.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.23 / $44.75 / $81.90	Facility		$20.23	$44.75	$81.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.09 / $20.65 / $27.36	Professional		$11.09	$20.65	$27.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.82 / $31.38 / $100.00	Professional		$18.82	$31.38	$100.00
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 $23.31 / $23.31 / $23.31	Professional		$23.31	$23.31	$23.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.97 / $12.30 / $22.41	Professional		$8.97	$12.30	$22.41
United Facility/Professional Facility Modifier Low / Median / High Price $18.00 / $18.00 / $18.00	Facility		$18.00	$18.00	$18.00
United Facility/Professional Professional Modifier Low / Median / High Price $7.53 / $11.55 / $18.47	Professional		$7.53	$11.55	$18.47