Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.75 / $44.51 / $95.55	Facility		$22.75	$44.51	$95.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.25 / $20.69 / $51.78	Professional		$19.25	$20.69	$51.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.47 / $104.00 / $318.33	Facility		$32.47	$104.00	$318.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $17.10 / $18.53	Professional		$3.50	$17.10	$18.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.45 / $57.56 / $110.19	Facility		$19.45	$57.56	$110.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.24 / $27.67 / $36.65	Professional		$12.24	$27.67	$36.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $25.26 / $36.09 / $147.32	Professional		$25.26	$36.09	$147.32
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 $31.28 / $31.28 / $31.28	Professional		$31.28	$31.28	$31.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.03 / $16.51 / $30.08	Professional		$12.03	$16.51	$30.08
United Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $14.44 / $24.65	Professional		$10.11	$14.44	$24.65