Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.21 / $28.36 / $38.96	Facility		$12.21	$28.36	$38.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.34 / $12.32 / $18.03	Professional		$11.34	$12.32	$18.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.56 / $43.91 / $149.05	Facility		$20.56	$43.91	$149.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $10.92 / $14.18	Professional		$4.50	$10.92	$14.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.49 / $34.44 / $65.52	Facility		$14.49	$34.44	$65.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.06 / $17.35 / $21.69	Professional		$9.06	$17.35	$21.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.89 / $25.67 / $65.36	Professional		$14.89	$25.67	$65.36
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 $18.43 / $18.43 / $18.43	Professional		$18.43	$18.43	$18.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.20 / $7.80 / $17.73	Professional		$5.20	$7.80	$17.73
United Facility/Professional Professional Modifier Low / Median / High Price $5.96 / $9.02 / $16.20	Professional		$5.96	$9.02	$16.20