Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $26.30 / $52.48	Facility		$19.95	$26.30	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $19.05 / $36.31	Professional		$10.00	$19.05	$36.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $50.12 / $69.18	Facility		$40.74	$50.12	$69.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $22.39 / $33.11	Professional		$14.45	$22.39	$33.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $25.12 / $37.15	Facility		$24.55	$25.12	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $22.91 / $41.69	Professional		$12.88	$22.91	$41.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $30.90 / $141.25	Professional		$14.79	$30.90	$141.25
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 $14.79 / $15.49 / $32.36	Professional		$14.79	$15.49	$32.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $37.15 / $39.81	Professional		$33.11	$37.15	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $23.99	Facility		$12.02	$12.02	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $20.42 / $34.67	Professional		$12.30	$20.42	$34.67