Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.68 / $33.72 / $50.08	Facility		$15.68	$33.72	$50.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.04 / $14.95 / $33.72	Professional		$14.04	$14.95	$33.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.55 / $41.16 / $174.90	Facility		$23.55	$41.16	$174.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $13.34 / $14.04	Professional		$3.50	$13.34	$14.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.52 / $43.61 / $83.39	Facility		$14.52	$43.61	$83.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $20.65 / $27.88	Professional		$9.27	$20.65	$27.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.14 / $29.17 / $100.00	Professional		$19.14	$29.17	$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 $23.70 / $23.70 / $23.70	Professional		$23.70	$23.70	$23.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.82 / $12.51 / $22.79	Professional		$8.82	$12.51	$22.79
United Facility/Professional Professional Modifier Low / Median / High Price $7.66 / $10.94 / $18.43	Professional		$7.66	$10.94	$18.43