Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.91 / $25.34 / $34.81	Facility		$10.91	$25.34	$34.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.14 / $10.90 / $28.93	Professional		$10.14	$10.90	$28.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.60 / $41.16 / $133.22	Facility		$18.60	$41.16	$133.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.24 / $30.71 / $58.07	Facility		$13.24	$30.71	$58.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.27 / $15.28 / $19.21	Professional		$8.27	$15.28	$19.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.30 / $24.51 / $100.00	Professional		$13.30	$24.51	$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 $16.47 / $16.47 / $16.47	Professional		$16.47	$16.47	$16.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.66 / $8.69 / $15.84	Professional		$4.66	$8.69	$15.84
United Facility/Professional Professional Modifier Low / Median / High Price $5.32 / $7.77 / $12.67	Professional		$5.32	$7.77	$12.67