Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.42 / $43.90 / $406.56	Facility		$21.42	$43.90	$406.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $20.35 / $131.76	Professional		$17.14	$20.35	$131.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.69 / $42.50 / $253.72	Facility		$26.69	$42.50	$253.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $14.78 / $16.48	Professional		$3.50	$14.78	$16.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.00 / $52.02 / $98.28	Facility		$27.00	$52.02	$98.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.92 / $25.83 / $42.05	Professional		$10.92	$25.83	$42.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $21.85 / $37.49 / $130.31	Professional		$21.85	$37.49	$130.31
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 $27.85 / $27.85 / $27.85	Professional		$27.85	$27.85	$27.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.92 / $29.13 / $32.13	Professional		$9.92	$29.13	$32.13
United Facility/Professional Professional Modifier Low / Median / High Price $12.85 / $21.42 / $35.72	Professional		$12.85	$21.42	$35.72