Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.66 / $39.81 / $59.38	Facility		$18.66	$39.81	$59.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.75 / $19.57 / $31.24	Professional		$17.75	$19.57	$31.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.85 / $63.00 / $321.62	Facility		$31.85	$63.00	$321.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $17.52 / $22.75	Professional		$3.50	$17.52	$22.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.67 / $50.28 / $104.23	Facility		$28.67	$50.28	$104.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.58 / $27.30 / $41.93	Professional		$11.58	$27.30	$41.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $25.14 / $40.98 / $109.21	Professional		$25.14	$40.98	$109.21
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 $29.58 / $29.58 / $29.58	Professional		$29.58	$29.58	$29.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.93 / $27.51 / $34.13	Professional		$11.93	$27.51	$34.13
United Facility/Professional Facility Modifier Low / Median / High Price $22.75 / $23.89 / $56.19	Facility		$22.75	$23.89	$56.19
United Facility/Professional Professional Modifier Low / Median / High Price $9.56 / $14.49 / $28.02	Professional		$9.56	$14.49	$28.02