Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.67 / $30.18 / $104.37	Facility		$12.67	$30.18	$104.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.78 / $12.83 / $39.36	Professional		$11.78	$12.83	$39.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.16 / $78.53 / $194.64	Facility		$20.16	$78.53	$194.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $11.33 / $11.33	Professional		$3.50	$11.33	$11.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.38 / $35.83 / $68.50	Facility		$15.38	$35.83	$68.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $17.76 / $22.41	Professional		$9.61	$17.76	$22.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.46 / $28.48 / $130.53	Professional		$15.46	$28.48	$130.53
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 $19.14 / $19.14 / $19.14	Professional		$19.14	$19.14	$19.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.40 / $8.10 / $10.81	Professional		$5.40	$8.10	$10.81
United Facility/Professional Professional Modifier Low / Median / High Price $6.18 / $9.38 / $15.16	Professional		$6.18	$9.38	$15.16