Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.63 / $21.80 / $92.04	Facility		$10.63	$21.80	$92.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.50 / $9.14 / $21.80	Professional		$8.50	$9.14	$21.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.41 / $32.28 / $111.79	Facility		$15.41	$32.28	$111.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $7.78 / $8.19	Professional		$3.50	$7.78	$8.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.87 / $25.59 / $49.14	Facility		$10.87	$25.59	$49.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.80 / $12.80 / $16.01	Professional		$6.80	$12.80	$16.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.16 / $19.67 / $126.80	Professional		$11.16	$19.67	$126.80
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 $13.82 / $13.82 / $13.82	Professional		$13.82	$13.82	$13.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.32 / $7.29 / $13.29	Professional		$5.32	$7.29	$13.29
United Facility/Professional Professional Modifier Low / Median / High Price $4.46 / $7.99 / $11.55	Professional		$4.46	$7.99	$11.55