Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.84 / $39.11 / $53.73	Facility		$16.84	$39.11	$53.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.04 / $16.82 / $40.10	Professional		$16.04	$16.82	$40.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.52 / $61.87 / $205.56	Facility		$28.52	$61.87	$205.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $13.50 / $15.06	Professional		$3.50	$13.50	$15.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.44 / $47.76 / $89.34	Facility		$20.44	$47.76	$89.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.78 / $23.95 / $30.01	Professional		$12.78	$23.95	$30.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.55 / $34.22 / $106.29	Professional		$19.55	$34.22	$106.29
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 $25.43 / $25.43 / $25.43	Professional		$25.43	$25.43	$25.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $13.42 / $19.55	Professional		$9.77	$13.42	$19.55
United Facility/Professional Professional Modifier Low / Median / High Price $8.22 / $12.60 / $22.84	Professional		$8.22	$12.60	$22.84