Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.28 / $34.54 / $91.24	Facility		$17.28	$34.54	$91.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.48 / $14.69 / $29.38	Professional		$13.48	$14.69	$29.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.43 / $53.80 / $177.04	Facility		$24.43	$53.80	$177.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $11.63 / $12.97	Professional		$3.50	$11.63	$12.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.61 / $40.92 / $77.43	Facility		$17.61	$40.92	$77.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.01 / $19.61 / $25.81	Professional		$11.01	$19.61	$25.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.19 / $29.49 / $113.75	Professional		$17.19	$29.49	$113.75
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 $8.43 / $11.56 / $21.06	Professional		$8.43	$11.56	$21.06
United Facility/Professional Facility Modifier Low / Median / High Price $9.71 / $33.70 / $33.70	Facility		$9.71	$33.70	$33.70
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $10.11 / $16.85	Professional		$7.08	$10.11	$16.85