Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $23.99	Facility		$20.89	$20.89	$23.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $23.99 / $48.98	Professional		$19.95	$23.99	$48.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $33.88 / $42.66	Professional		$23.99	$33.88	$42.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Facility		$38.90	$38.90	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $26.30 / $47.86	Professional		$18.20	$26.30	$47.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $33.11 / $109.65	Professional		$21.38	$33.11	$109.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Facility		$18.20	$18.20	$18.20
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $27.54 / $43.65	Professional		$20.89	$27.54	$43.65