Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.36 / $28.48 / $45.81	Facility		$16.36	$28.48	$45.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.86 / $15.15 / $17.59	Professional		$11.86	$15.15	$17.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.80 / $76.77 / $386.12	Facility		$20.80	$76.77	$386.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.92 / $25.62 / $28.86	Professional		$20.92	$25.62	$28.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.21 / $41.67 / $72.02	Facility		$1.21	$41.67	$72.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.26 / $12.08 / $24.54	Professional		$5.26	$12.08	$24.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.97 / $17.21 / $31.63	Professional		$11.97	$17.21	$31.63
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 $14.14 / $14.65 / $15.43	Professional		$14.14	$14.65	$15.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $2,500.00	Professional		$30.00	$30.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $5.79 / $8.64 / $17.44	Professional		$5.79	$8.64	$17.44