Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.85 / $39.18 / $53.80	Facility		$18.85	$39.18	$53.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.67 / $16.85 / $44.73	Professional		$15.67	$16.85	$44.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.55 / $65.86 / $205.84	Facility		$29.55	$65.86	$205.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.90 / $48.69 / $90.83	Facility		$21.90	$48.69	$90.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.69 / $23.95 / $32.02	Professional		$13.69	$23.95	$32.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $20.57 / $38.04 / $160.37	Professional		$20.57	$38.04	$160.37
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 $25.47 / $25.47 / $25.47	Professional		$25.47	$25.47	$25.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.80 / $13.44 / $24.49	Professional		$9.80	$13.44	$24.49
United Facility/Professional Professional Modifier Low / Median / High Price $8.23 / $13.32 / $40.03	Professional		$8.23	$13.32	$40.03