Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.14 / $24.16 / $42.42	Facility		$14.14	$24.16	$42.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $12.32 / $14.14	Professional		$10.50	$12.32	$14.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.50 / $45.73 / $148.63	Facility		$20.50	$45.73	$148.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $10.35 / $10.89	Professional		$3.50	$10.35	$10.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $34.97 / $65.52	Facility		$14.79	$34.97	$65.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.24 / $17.35 / $21.69	Professional		$9.24	$17.35	$21.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.85 / $27.34 / $124.94	Professional		$14.85	$27.34	$124.94
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 $18.38 / $18.38 / $18.38	Professional		$18.38	$18.38	$18.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.19 / $9.68 / $17.68	Professional		$5.19	$9.68	$17.68
United Facility/Professional Professional Modifier Low / Median / High Price $5.94 / $10.60 / $14.56	Professional		$5.94	$10.60	$14.56