Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.89 / $37.13 / $47.55	Facility		$17.89	$37.13	$47.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.02 / $17.91 / $20.81	Professional		$11.02	$17.91	$20.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.50 / $111.12 / $275.22	Facility		$28.50	$111.12	$275.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $14.36 / $16.02	Professional		$3.50	$14.36	$16.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.94 / $51.33 / $95.30	Facility		$22.94	$51.33	$95.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.59 / $24.19 / $31.49	Professional		$13.59	$24.19	$31.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $21.23 / $36.42 / $341.68	Professional		$21.23	$36.42	$341.68
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 $27.05 / $27.05 / $27.05	Professional		$27.05	$27.05	$27.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.41 / $14.28 / $26.01	Professional		$10.41	$14.28	$26.01
United Facility/Professional Professional Modifier Low / Median / High Price $8.74 / $14.15 / $21.43	Professional		$8.74	$14.15	$21.43