Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.07 / $33.01 / $88.48	Facility		$14.07	$33.01	$88.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.58 / $14.25 / $15.03	Professional		$12.58	$14.25	$15.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.69 / $52.13 / $171.71	Facility		$23.69	$52.13	$171.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $11.27 / $12.58	Professional		$3.50	$11.27	$12.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.07 / $40.09 / $75.94	Facility		$17.07	$40.09	$75.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $19.82 / $24.81	Professional		$10.68	$19.82	$24.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.16 / $31.61 / $150.00	Professional		$17.16	$31.61	$150.00
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 $21.24 / $21.24 / $21.24	Professional		$21.24	$21.24	$21.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $11.21 / $20.43	Professional		$6.00	$11.21	$20.43
United Facility/Professional Facility Modifier Low / Median / High Price $9.41 / $32.68 / $32.68	Facility		$9.41	$32.68	$32.68
United Facility/Professional Professional Modifier Low / Median / High Price $6.86 / $10.50 / $16.82	Professional		$6.86	$10.50	$16.82