Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.04 / $47.04 / $72.81	Facility		$22.04	$47.04	$72.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.16 / $22.04 / $41.53	Professional		$20.16	$22.04	$41.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.47 / $57.50 / $282.55	Facility		$35.47	$57.50	$282.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $18.55 / $20.70	Professional		$3.50	$18.55	$20.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.07 / $59.39 / $123.59	Facility		$34.07	$59.39	$123.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $32.24 / $48.89	Professional		$12.49	$32.24	$48.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $29.70 / $47.04 / $177.91	Professional		$29.70	$47.04	$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 $34.94 / $34.94 / $34.94	Professional		$34.94	$34.94	$34.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.75 / $36.56 / $40.32	Professional		$13.75	$36.56	$40.32
United Facility/Professional Facility Modifier Low / Median / High Price $26.88 / $28.22 / $66.39	Facility		$26.88	$28.22	$66.39
United Facility/Professional Professional Modifier Low / Median / High Price $11.29 / $16.13 / $28.25	Professional		$11.29	$16.13	$28.25