Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.76 / $29.60 / $43.95	Facility		$13.76	$29.60	$43.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.32 / $13.12 / $29.60	Professional		$12.32	$13.12	$29.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.70 / $37.65 / $153.50	Facility		$21.70	$37.65	$153.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $11.04 / $12.32	Professional		$3.50	$11.04	$12.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.24 / $38.27 / $72.95	Facility		$13.24	$38.27	$72.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $18.35 / $24.26	Professional		$8.11	$18.35	$24.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $25.16 / $67.47	Professional		$16.80	$25.16	$67.47
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 $20.80 / $20.80 / $20.80	Professional		$20.80	$20.80	$20.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.56 / $10.98 / $16.00	Professional		$6.56	$10.98	$16.00
United Facility/Professional Professional Modifier Low / Median / High Price $6.72 / $9.60 / $16.48	Professional		$6.72	$9.60	$16.48