Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.07 / $77.12 / $161.94	Facility		$16.07	$77.12	$161.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.19 / $16.07 / $27.97	Professional		$9.19	$16.07	$27.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.97 / $72.36 / $251.05	Facility		$34.97	$72.36	$251.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.02 / $21.48 / $21.48	Professional		$19.02	$21.48	$21.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.30 / $31.30 / $31.30	Facility		$31.30	$31.30	$31.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.25 / $12.25 / $33.38	Professional		$12.25	$12.25	$33.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $28.45 / $57.13 / $80.40	Professional		$28.45	$57.13	$80.40
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 $37.22 / $37.22 / $37.22	Professional		$37.22	$37.22	$37.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.30 / $35.79 / $42.96	Professional		$22.30	$35.79	$42.96
United Facility/Professional Professional Modifier Low / Median / High Price $9.98 / $14.29 / $25.30	Professional		$9.98	$14.29	$25.30