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 / $56.12 / $237.48	Facility		$30.03	$56.12	$237.48
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 / $177.91	Professional		$24.22	$40.54	$177.91
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 / $13.15 / $28.02	Professional		$9.21	$13.15	$28.02