Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.70 / $25.40 / $190.57	Facility		$12.70	$25.40	$190.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $10.41 / $22.23	Professional		$9.77	$10.41	$22.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.41 / $35.67 / $165.01	Facility		$18.41	$35.67	$165.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $10.79 / $12.70	Professional		$3.50	$10.79	$12.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.04 / $30.40 / $58.07	Facility		$11.04	$30.40	$58.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.55 / $14.84 / $19.10	Professional		$6.55	$14.84	$19.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.34 / $19.97 / $50.11	Professional		$13.34	$19.97	$50.11
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 $16.51 / $16.51 / $16.51	Professional		$16.51	$16.51	$16.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.35 / $8.71 / $15.88	Professional		$6.35	$8.71	$15.88
United Facility/Professional Facility Modifier Low / Median / High Price $6.89 / $6.89 / $12.70	Facility		$6.89	$6.89	$12.70
United Facility/Professional Professional Modifier Low / Median / High Price $7.62 / $10.16 / $14.02	Professional		$7.62	$10.16	$14.02