Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.51 / $9.51 / $9.51	Facility		$9.51	$9.51	$9.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.93 / $16.02 / $244.00	Professional		$9.93	$16.02	$244.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $187.56 / $223.77 / $288.68	Facility		$187.56	$223.77	$288.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.02 / $208.24 / $432.55	Facility		$19.02	$208.24	$432.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.07 / $21.43 / $22.86	Professional		$19.07	$21.43	$22.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.03 / $23.27 / $41.99	Professional		$16.03	$23.27	$41.99
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 $19.70 / $19.85 / $21.27	Professional		$19.70	$19.85	$21.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $843.00 / $3,685.00	Facility		$165.00	$843.00	$3,685.00
United Facility/Professional Professional Modifier Low / Median / High Price $15.21 / $20.82 / $33.26	Professional		$15.21	$20.82	$33.26