Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.28 / $47.37 / $56.36	Facility		$23.28	$47.37	$56.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.33 / $22.20 / $34.40	Professional		$11.33	$22.20	$34.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $27.92 / $259.77	Facility		$9.77	$27.92	$259.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $18.68 / $20.84	Professional		$3.50	$18.68	$20.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.38 / $64.77 / $125.08	Facility		$18.38	$64.77	$125.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.13 / $29.78 / $39.86	Professional		$6.13	$29.78	$39.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $20.50 / $35.19 / $60.66	Professional		$20.50	$35.19	$60.66
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 $35.19 / $35.19 / $35.19	Professional		$35.19	$35.19	$35.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.30 / $13.54 / $33.84	Professional		$6.30	$13.54	$33.84
United Facility/Professional Facility Modifier Low / Median / High Price $27.07 / $28.42 / $66.86	Facility		$27.07	$28.42	$66.86
United Facility/Professional Professional Modifier Low / Median / High Price $3.88 / $11.37 / $27.07	Professional		$3.88	$11.37	$27.07