Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.45 / $53.45 / $125.73	Facility		$22.45	$53.45	$125.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.82 / $23.23 / $34.29	Professional		$13.82	$23.23	$34.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.97 / $101.16 / $269.86	Facility		$41.97	$101.16	$269.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $17.98 / $20.07	Professional		$3.50	$17.98	$20.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.23 / $63.97 / $120.61	Facility		$27.23	$63.97	$120.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.03 / $31.80 / $39.92	Professional		$17.03	$31.80	$39.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $27.37 / $45.62 / $213.14	Professional		$27.37	$45.62	$213.14
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 $33.89 / $33.89 / $33.89	Professional		$33.89	$33.89	$33.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.57 / $13.44 / $19.16	Professional		$9.57	$13.44	$19.16
United Facility/Professional Professional Modifier Low / Median / High Price $10.95 / $16.80 / $26.85	Professional		$10.95	$16.80	$26.85