Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.86 / $40.52 / $95.55	Facility		$18.86	$40.52	$95.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $17.96 / $40.52	Professional		$16.86	$17.96	$40.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.66 / $57.63 / $210.18	Facility		$30.66	$57.63	$210.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $15.11 / $16.86	Professional		$3.50	$15.11	$16.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.45 / $52.40 / $101.26	Facility		$19.45	$52.40	$101.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.52 / $26.16 / $33.56	Professional		$11.52	$26.16	$33.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $35.04 / $115.62	Professional		$23.00	$35.04	$115.62
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 $28.47 / $28.47 / $28.47	Professional		$28.47	$28.47	$28.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.95 / $15.02 / $27.38	Professional		$10.95	$15.02	$27.38
United Facility/Professional Professional Modifier Low / Median / High Price $9.19 / $13.14 / $21.90	Professional		$9.19	$13.14	$21.90