Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.81 / $57.84 / $1,779.15	Facility		$27.81	$57.84	$1,779.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.75 / $20.48 / $24.08	Professional		$12.75	$20.48	$24.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.89 / $34.32 / $60.13	Facility		$18.89	$34.32	$60.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $18.54 / $24.08	Professional		$3.50	$18.54	$24.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.82 / $57.59 / $110.19	Facility		$16.82	$57.59	$110.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.66 / $25.38 / $33.29	Professional		$12.66	$25.38	$33.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $24.08 / $42.14 / $204.29	Professional		$24.08	$42.14	$204.29
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 $31.30 / $31.30 / $31.30	Professional		$31.30	$31.30	$31.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.04 / $16.52 / $30.10	Professional		$12.04	$16.52	$30.10
United Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $16.35 / $24.80	Professional		$10.11	$16.35	$24.80