Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.23 / $40.10 / $106.60	Facility		$17.23	$40.10	$106.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.44 / $17.48 / $35.09	Professional		$15.44	$17.48	$35.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.07 / $63.11 / $210.75	Facility		$29.07	$63.11	$210.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $13.83 / $15.44	Professional		$3.50	$13.83	$15.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.96 / $48.62 / $92.32	Facility		$20.96	$48.62	$92.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.22 / $24.52 / $38.36	Professional		$12.22	$24.52	$38.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $22.06 / $38.79 / $89.51	Professional		$22.06	$38.79	$89.51
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 $26.07 / $26.07 / $26.07	Professional		$26.07	$26.07	$26.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.02 / $20.05 / $29.47	Professional		$10.02	$20.05	$29.47
United Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $12.03 / $20.05	Professional		$8.42	$12.03	$20.05