Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.06 / $32.36 / $51.80	Facility		$15.06	$32.36	$51.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.47 / $14.34 / $32.36	Professional		$13.47	$14.34	$32.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.61 / $75.61 / $231.41	Facility		$23.61	$75.61	$231.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $12.07 / $13.47	Professional		$3.50	$12.07	$13.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.22 / $41.84 / $80.41	Facility		$12.22	$41.84	$80.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.68 / $20.23 / $26.85	Professional		$6.68	$20.23	$26.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.48 / $26.24 / $190.21	Professional		$17.48	$26.24	$190.21
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 $22.74 / $22.74 / $22.74	Professional		$22.74	$22.74	$22.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.83 / $9.61 / $21.86	Professional		$5.83	$9.61	$21.86
United Facility/Professional Professional Modifier Low / Median / High Price $5.69 / $8.22 / $18.01	Professional		$5.69	$8.22	$18.01