Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.38 / $44.76 / $71.23	Facility		$22.38	$44.76	$71.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.47 / $22.38 / $41.53	Professional		$20.47	$22.38	$41.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.65 / $57.50 / $286.77	Facility		$35.65	$57.50	$286.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $18.82 / $21.01	Professional		$3.50	$18.82	$21.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.47 / $60.49 / $125.08	Facility		$34.47	$60.49	$125.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $32.24 / $49.48	Professional		$12.49	$32.24	$49.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $30.16 / $47.76 / $177.91	Professional		$30.16	$47.76	$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 $35.47 / $35.47 / $35.47	Professional		$35.47	$35.47	$35.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.75 / $37.11 / $40.94	Professional		$13.75	$37.11	$40.94
United Facility/Professional Professional Modifier Low / Median / High Price $11.46 / $16.37 / $28.68	Professional		$11.46	$16.37	$28.68