Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.44 / $35.09 / $55.07	Facility		$16.44	$35.09	$55.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.04 / $18.09 / $26.38	Professional		$16.04	$18.09	$26.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.46 / $56.12 / $315.77	Facility		$27.46	$56.12	$315.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $15.44 / $20.05	Professional		$3.50	$15.44	$20.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.34 / $48.62 / $92.32	Facility		$25.34	$48.62	$92.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.26 / $24.70 / $41.93	Professional		$10.26	$24.70	$41.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $22.16 / $39.22 / $123.30	Professional		$22.16	$39.22	$123.30
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 $26.07 / $26.07 / $26.07	Professional		$26.07	$26.07	$26.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.52 / $27.27 / $30.08	Professional		$10.52	$27.27	$30.08
United Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $13.03 / $28.02	Professional		$8.42	$13.03	$28.02