Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.92 / $45.00 / $63.55	Facility		$19.92	$45.00	$63.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.25 / $18.97 / $46.26	Professional		$12.25	$18.97	$46.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.22 / $71.34 / $243.10	Facility		$37.22	$71.34	$243.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.96 / $18.07 / $26.69	Professional		$15.96	$18.07	$26.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.49 / $55.31 / $107.21	Facility		$23.49	$55.31	$107.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.04 / $28.08 / $56.23	Professional		$19.04	$28.08	$56.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $24.29 / $43.26 / $125.00	Professional		$24.29	$43.26	$125.00
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 $30.07 / $30.07 / $30.07	Professional		$30.07	$30.07	$30.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.57 / $15.87 / $32.34	Professional		$11.57	$15.87	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $9.71 / $13.88 / $23.13	Professional		$9.71	$13.88	$23.13