Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.86 / $40.29 / $50.01	Facility		$17.86	$40.29	$50.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.77 / $17.86 / $38.11	Professional		$16.77	$17.86	$38.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.83 / $127.48 / $374.18	Facility		$29.83	$127.48	$374.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $8.06 / $21.78	Professional		$3.50	$8.06	$21.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.96 / $52.11 / $99.77	Facility		$17.96	$52.11	$99.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.43 / $25.03 / $33.04	Professional		$10.43	$25.03	$33.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $22.22 / $36.32 / $100.00	Professional		$22.22	$36.32	$100.00
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 $28.31 / $28.31 / $28.31	Professional		$28.31	$28.31	$28.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.89 / $14.94 / $27.23	Professional		$10.89	$14.94	$27.23
United Facility/Professional Professional Modifier Low / Median / High Price $9.15 / $12.60 / $21.78	Professional		$9.15	$12.60	$21.78