Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.87 / $39.20 / $95.42	Facility		$16.87	$39.20	$95.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.68 / $17.78 / $32.02	Professional		$15.68	$17.78	$32.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.71 / $84.19 / $202.78	Facility		$33.71	$84.19	$202.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $14.34 / $15.09	Professional		$3.50	$14.34	$15.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.47 / $47.76 / $90.83	Facility		$20.47	$47.76	$90.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.80 / $26.02 / $58.65	Professional		$12.80	$26.02	$58.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $20.58 / $37.90 / $102.52	Professional		$20.58	$37.90	$102.52
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 $25.48 / $25.48 / $25.48	Professional		$25.48	$25.48	$25.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.84 / $10.78 / $19.60	Professional		$8.84	$10.78	$19.60
United Facility/Professional Professional Modifier Low / Median / High Price $8.23 / $13.33 / $20.19	Professional		$8.23	$13.33	$20.19