Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.77 / $19.85 / $34.11	Facility		$18.77	$19.85	$34.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $18.07 / $28.56	Professional		$10.19	$18.07	$28.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.82 / $49.89 / $57.51	Facility		$40.82	$49.89	$57.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.31 / $23.84 / $32.81	Professional		$14.31	$23.84	$32.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.57 / $16.57 / $24.93	Facility		$16.57	$16.57	$24.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.27 / $22.60 / $39.79	Professional		$13.27	$22.60	$39.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.51 / $31.30 / $136.88	Professional		$15.51	$31.30	$136.88
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 $14.82 / $15.51 / $32.50	Professional		$14.82	$15.51	$32.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.85 / $34.00 / $40.00	Professional		$22.85	$34.00	$40.00
United Facility/Professional Professional Modifier Low / Median / High Price $20.47 / $27.01 / $46.42	Professional		$20.47	$27.01	$46.42