Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.29 / $50.37 / $112.48	Facility		$16.29	$50.37	$112.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $12.84 / $25.61	Professional		$9.35	$12.84	$25.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.08 / $45.73 / $151.24	Facility		$21.08	$45.73	$151.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $10.23 / $11.08	Professional		$3.50	$10.23	$11.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.05 / $34.97 / $65.52	Facility		$15.05	$34.97	$65.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.40 / $17.35 / $22.01	Professional		$9.40	$17.35	$22.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.11 / $27.85 / $132.40	Professional		$15.11	$27.85	$132.40
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 $18.71 / $18.71 / $18.71	Professional		$18.71	$18.71	$18.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $7.91 / $14.39	Professional		$7.00	$7.91	$14.39
United Facility/Professional Professional Modifier Low / Median / High Price $6.04 / $8.63 / $14.82	Professional		$6.04	$8.63	$14.82