Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.41 / $22.64 / $39.75	Facility		$11.41	$22.64	$39.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $11.85 / $23.12	Professional		$10.19	$11.85	$23.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.21 / $41.16 / $139.22	Facility		$19.21	$41.16	$139.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $9.14 / $10.19	Professional		$3.50	$9.14	$10.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.85 / $32.40 / $61.05	Facility		$13.85	$32.40	$61.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.66 / $16.11 / $20.41	Professional		$8.66	$16.11	$20.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.91 / $23.19 / $104.43	Professional		$13.91	$23.19	$104.43
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 $17.23 / $17.23 / $17.23	Professional		$17.23	$17.23	$17.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.86 / $7.29 / $9.74	Professional		$4.86	$7.29	$9.74
United Facility/Professional Facility Modifier Low / Median / High Price $7.64 / $26.50 / $26.50	Facility		$7.64	$26.50	$26.50
United Facility/Professional Professional Modifier Low / Median / High Price $5.57 / $9.93 / $22.15	Professional		$5.57	$9.93	$22.15