Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.49 / $33.13 / $102.82	Facility		$14.49	$33.13	$102.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.34 / $14.49 / $37.02	Professional		$12.34	$14.49	$37.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.35 / $62.85 / $158.30	Facility		$26.35	$62.85	$158.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $11.98 / $12.97	Professional		$3.50	$11.98	$12.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.00 / $40.29 / $77.43	Facility		$16.00	$40.29	$77.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.55 / $20.65 / $25.81	Professional		$10.55	$20.65	$25.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.69 / $29.49 / $149.18	Professional		$17.69	$29.49	$149.18
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 $21.91 / $21.91 / $21.91	Professional		$21.91	$21.91	$21.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.87 / $11.56 / $21.06	Professional		$7.87	$11.56	$21.06
United Facility/Professional Facility Modifier Low / Median / High Price $8.36 / $33.70 / $33.70	Facility		$8.36	$33.70	$33.70
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $10.11 / $17.36	Professional		$7.08	$10.11	$17.36