Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.09 / $24.90 / $136.74	Facility		$14.09	$24.90	$136.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.69 / $10.92 / $24.90	Professional		$9.69	$10.92	$24.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.25 / $66.78 / $161.02	Facility		$22.25	$66.78	$161.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $9.69 / $12.60	Professional		$3.50	$9.69	$12.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.19 / $30.71 / $58.07	Facility		$13.19	$30.71	$58.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.33 / $15.28 / $19.10	Professional		$10.33	$15.28	$19.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.23 / $22.05 / $100.00	Professional		$13.23	$22.05	$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 $16.38 / $16.38 / $16.38	Professional		$16.38	$16.38	$16.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.71 / $8.64 / $15.75	Professional		$4.71	$8.64	$15.75
United Facility/Professional Professional Modifier Low / Median / High Price $5.29 / $7.56 / $12.98	Professional		$5.29	$7.56	$12.98