Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.04 / $49.73 / $82.61	Facility		$22.04	$49.73	$82.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.70 / $22.85 / $34.15	Professional		$20.70	$22.85	$34.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.82 / $63.00 / $366.91	Facility		$36.82	$63.00	$366.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $20.70 / $26.88	Professional		$3.50	$20.70	$26.88
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 / $30.81 / $45.32	Professional		$12.49	$30.81	$45.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $29.70 / $47.04 / $109.21	Professional		$29.70	$47.04	$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 $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 Professional Modifier Low / Median / High Price $11.29 / $16.13 / $28.25	Professional		$11.29	$16.13	$28.25