Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.51 / $33.70 / $43.98	Facility		$14.51	$33.70	$43.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.34 / $14.51 / $17.53	Professional		$11.34	$14.51	$17.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.08 / $89.90 / $222.82	Facility		$23.08	$89.90	$222.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $12.97 / $12.97	Professional		$3.50	$12.97	$12.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.76 / $41.73 / $77.43	Facility		$18.76	$41.73	$77.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.37 / $19.41 / $25.81	Professional		$10.37	$19.41	$25.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.69 / $29.49 / $209.61	Professional		$17.69	$29.49	$209.61
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 Professional Modifier Low / Median / High Price $7.08 / $10.11 / $17.36	Professional		$7.08	$10.11	$17.36