Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.35 / $64.93 / $73.45	Facility		$30.35	$64.93	$73.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.22 / $28.94 / $47.01	Professional		$12.22	$28.94	$47.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.54 / $56.81 / $338.59	Facility		$22.54	$56.81	$338.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $27.17 / $35.29	Professional		$3.50	$27.17	$35.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.66 / $84.42 / $162.31	Facility		$24.66	$84.42	$162.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.53 / $38.82 / $51.40	Professional		$8.53	$38.82	$51.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $28.23 / $48.74 / $100.00	Professional		$28.23	$48.74	$100.00
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 $45.88 / $45.88 / $45.88	Professional		$45.88	$45.88	$45.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.96 / $17.64 / $25.93	Professional		$12.96	$17.64	$25.93
United Facility/Professional Professional Modifier Low / Median / High Price $9.22 / $16.80 / $35.29	Professional		$9.22	$16.80	$35.29