Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.84 / $36.19 / $53.68	Facility		$15.84	$36.19	$53.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.40 / $14.28 / $20.13	Professional		$8.40	$14.28	$20.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.56 / $51.11 / $166.53	Facility		$23.56	$51.11	$166.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $11.59 / $12.20	Professional		$3.50	$11.59	$12.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.55 / $38.38 / $72.95	Facility		$16.55	$38.38	$72.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.35 / $19.41 / $24.41	Professional		$10.35	$19.41	$24.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.63 / $30.18 / $163.68	Professional		$16.63	$30.18	$163.68
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 $20.59 / $20.59 / $20.59	Professional		$20.59	$20.59	$20.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.92 / $10.87 / $19.80	Professional		$7.92	$10.87	$19.80
United Facility/Professional Professional Modifier Low / Median / High Price $6.65 / $10.09 / $16.32	Professional		$6.65	$10.09	$16.32