Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.56 / $31.48 / $43.25	Facility		$13.56	$31.48	$43.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.33 / $13.54 / $20.01	Professional		$8.33	$13.54	$20.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.82 / $49.39 / $165.43	Facility		$22.82	$49.39	$165.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $11.51 / $12.12	Professional		$3.50	$11.51	$12.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.45 / $38.38 / $72.95	Facility		$16.45	$38.38	$72.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.28 / $19.00 / $24.01	Professional		$10.28	$19.00	$24.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.53 / $29.12 / $150.00	Professional		$16.53	$29.12	$150.00
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 $20.46 / $20.46 / $20.46	Professional		$20.46	$20.46	$20.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.87 / $10.80 / $19.68	Professional		$7.87	$10.80	$19.68
United Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $11.81 / $18.38	Professional		$6.61	$11.81	$18.38