Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.07 / $38.29 / $115.20	Facility		$18.07	$38.29	$115.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $12.22 / $19.28	Professional		$10.19	$12.22	$19.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $62.04 / $182.40	Facility		$25.12	$62.04	$182.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $12.37 / $16.07	Professional		$3.50	$12.37	$16.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.24 / $38.46 / $74.45	Facility		$13.24	$38.46	$74.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.27 / $18.77 / $24.26	Professional		$8.27	$18.77	$24.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.87 / $25.71 / $105.03	Professional		$16.87	$25.71	$105.03
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 $20.89 / $20.89 / $20.89	Professional		$20.89	$20.89	$20.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.03 / $11.02 / $20.09	Professional		$8.03	$11.02	$20.09
United Facility/Professional Professional Modifier Low / Median / High Price $6.75 / $9.64 / $16.80	Professional		$6.75	$9.64	$16.80