Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.42 / $25.85 / $30.49	Facility		$11.42	$25.85	$30.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.62 / $11.29 / $21.47	Professional		$10.62	$11.29	$21.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.84 / $57.18 / $137.38	Facility		$22.84	$57.18	$137.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.88 / $32.89 / $61.05	Facility		$13.88	$32.89	$61.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.67 / $15.28 / $20.14	Professional		$8.67	$15.28	$20.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.94 / $23.24 / $100.00	Professional		$13.94	$23.24	$100.00
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 $17.26 / $17.26 / $17.26	Professional		$17.26	$17.26	$17.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.64 / $9.11 / $16.60	Professional		$6.64	$9.11	$16.60
United Facility/Professional Professional Modifier Low / Median / High Price $5.58 / $8.63 / $18.07	Professional		$5.58	$8.63	$18.07