Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.93 / $24.22 / $33.27	Facility		$9.93	$24.22	$33.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.93 / $10.92 / $27.66	Professional		$9.93	$10.92	$27.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.55 / $38.40 / $127.21	Facility		$17.55	$38.40	$127.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $8.85 / $9.32	Professional		$3.50	$8.85	$9.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.65 / $29.86 / $55.10	Facility		$12.65	$29.86	$55.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.91 / $14.87 / $18.59	Professional		$7.91	$14.87	$18.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.72 / $23.42 / $125.00	Professional		$12.72	$23.42	$125.00
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 $15.74 / $15.74 / $15.74	Professional		$15.74	$15.74	$15.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.06 / $7.00 / $15.14	Professional		$6.06	$7.00	$15.14
United Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $7.27 / $12.47	Professional		$5.09	$7.27	$12.47