Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.97 / $38.36 / $57.21	Facility		$17.97	$38.36	$57.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.88 / $18.09 / $38.36	Professional		$16.88	$18.09	$38.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.03 / $55.66 / $237.48	Facility		$30.03	$55.66	$237.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $15.12 / $16.88	Professional		$3.50	$15.12	$16.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.84 / $49.37 / $101.26	Facility		$27.84	$49.37	$101.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.25 / $26.70 / $42.08	Professional		$11.25	$26.70	$42.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $24.22 / $40.54 / $163.81	Professional		$24.22	$40.54	$163.81
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 $28.50 / $28.50 / $28.50	Professional		$28.50	$28.50	$28.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.50 / $27.51 / $32.88	Professional		$11.50	$27.51	$32.88
United Facility/Professional Facility Modifier Low / Median / High Price $21.92 / $23.02 / $54.14	Facility		$21.92	$23.02	$54.14
United Facility/Professional Professional Modifier Low / Median / High Price $9.21 / $15.03 / $25.03	Professional		$9.21	$15.03	$25.03