Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.75 / $25.49 / $42.87	Facility		$13.75	$25.49	$42.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.61 / $12.42 / $18.79	Professional		$10.61	$12.42	$18.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.49 / $25.29 / $150.15	Facility		$14.49	$25.29	$150.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $11.00 / $11.00	Professional		$3.50	$11.00	$11.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.93 / $34.97 / $65.52	Facility		$14.93	$34.97	$65.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $17.35 / $22.01	Professional		$9.33	$17.35	$22.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $25.01 / $179.67	Professional		$15.00	$25.01	$179.67
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 $18.57 / $18.57 / $18.57	Professional		$18.57	$18.57	$18.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $7.37 / $10.50	Professional		$5.25	$7.37	$10.50
United Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $8.57 / $16.69	Professional		$6.00	$8.57	$16.69