Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.20 / $31.69 / $50.00	Facility		$14.20	$31.69	$50.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.70 / $13.52 / $31.69	Professional		$12.70	$13.52	$31.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.08 / $43.91 / $164.27	Facility		$23.08	$43.91	$164.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $11.38 / $12.70	Professional		$3.50	$11.38	$12.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.28 / $39.45 / $75.94	Facility		$15.28	$39.45	$75.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.06 / $20.23 / $25.30	Professional		$9.06	$20.23	$25.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.82 / $23.25 / $42.20	Professional		$16.82	$23.25	$42.20
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 $21.44 / $21.44 / $21.44	Professional		$21.44	$21.44	$21.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.35 / $9.07 / $20.61	Professional		$5.35	$9.07	$20.61
United Facility/Professional Professional Modifier Low / Median / High Price $6.93 / $10.65 / $16.48	Professional		$6.93	$10.65	$16.48