Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $43.65 / $70.79	Facility		$22.91	$43.65	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.95 / $46.77	Professional		$15.85	$19.95	$46.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $60.26 / $239.88	Facility		$30.90	$60.26	$239.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $18.20 / $26.92	Professional		$15.85	$18.20	$26.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $51.29 / $107.15	Facility		$15.14	$51.29	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $25.70 / $56.23	Professional		$19.05	$25.70	$56.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $43.65 / $186.21	Professional		$25.70	$43.65	$186.21
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 $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $22.91 / $46.77	Facility		$12.88	$22.91	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $14.79 / $22.91	Professional		$9.77	$14.79	$22.91