Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.77 / $39.18 / $58.77	Facility		$17.77	$39.18	$58.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $16.85 / $34.28	Professional		$16.05	$16.85	$34.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.40 / $60.38 / $205.84	Facility		$28.40	$60.38	$205.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $15.08 / $15.08	Professional		$3.50	$15.08	$15.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.47 / $47.76 / $90.83	Facility		$20.47	$47.76	$90.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.97 / $22.72 / $29.94	Professional		$12.97	$22.72	$29.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $34.28 / $241.32	Professional		$19.98	$34.28	$241.32
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 / $11.75 / $22.87	Professional		$8.23	$11.75	$22.87