Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.07 / $32.95 / $89.05	Facility		$16.07	$32.95	$89.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $38.58 / $52.52	Professional		$13.18	$38.58	$52.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.56 / $52.13 / $168.85	Facility		$23.56	$52.13	$168.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $11.09 / $12.37	Professional		$3.50	$11.09	$12.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.79 / $39.24 / $74.45	Facility		$16.79	$39.24	$74.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $18.77 / $24.41	Professional		$10.50	$18.77	$24.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.87 / $29.78 / $120.00	Professional		$16.87	$29.78	$120.00
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 $20.89 / $20.89 / $20.89	Professional		$20.89	$20.89	$20.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.03 / $11.02 / $20.09	Professional		$8.03	$11.02	$20.09
United Facility/Professional Facility Modifier Low / Median / High Price $26.93 / $26.93 / $26.93	Facility		$26.93	$26.93	$26.93
United Facility/Professional Professional Modifier Low / Median / High Price $6.75 / $9.94 / $18.76	Professional		$6.75	$9.94	$18.76