Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.73 / $33.42 / $51.05	Facility		$17.73	$33.42	$51.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.04 / $18.01 / $119.42	Professional		$16.04	$18.01	$119.42
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 $17.88 / $30.32 / $124.94	Professional		$17.88	$30.32	$124.94
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 $6.72 / $13.42 / $24.45	Professional		$6.72	$13.42	$24.45
United Facility/Professional Facility Modifier Low / Median / High Price $19.55 / $20.54 / $48.31	Facility		$19.55	$20.54	$48.31
United Facility/Professional Professional Modifier Low / Median / High Price $8.22 / $13.11 / $29.22	Professional		$8.22	$13.11	$29.22