Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.77 / $31.98 / $43.92	Facility		$13.77	$31.98	$43.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.79 / $13.75 / $36.52	Professional		$12.79	$13.75	$36.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.56 / $52.13 / $168.03	Facility		$23.56	$52.13	$168.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.71 / $39.24 / $72.95	Facility		$16.71	$39.24	$72.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.44 / $19.41 / $24.41	Professional		$10.44	$19.41	$24.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.79 / $27.98 / $100.00	Professional		$16.79	$27.98	$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 $20.79 / $20.79 / $20.79	Professional		$20.79	$20.79	$20.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.86 / $8.78 / $19.98	Professional		$5.86	$8.78	$19.98
United Facility/Professional Professional Modifier Low / Median / High Price $6.72 / $9.80 / $18.67	Professional		$6.72	$9.80	$18.67