Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.10 / $28.10 / $42.15	Facility		$12.10	$28.10	$42.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.82 / $12.06 / $14.05	Professional		$10.82	$12.06	$14.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.23 / $74.94 / $185.88	Facility		$19.23	$74.94	$185.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $10.82 / $10.82	Professional		$3.50	$10.82	$10.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.67 / $34.11 / $64.03	Facility		$14.67	$34.11	$64.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.17 / $16.93 / $21.61	Professional		$9.17	$16.93	$21.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.75 / $27.16 / $121.21	Professional		$14.75	$27.16	$121.21
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 $18.27 / $18.27 / $18.27	Professional		$18.27	$18.27	$18.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.03 / $9.64 / $17.55	Professional		$7.03	$9.64	$17.55
United Facility/Professional Facility Modifier Low / Median / High Price $14.05 / $14.75 / $34.70	Facility		$14.05	$14.75	$34.70
United Facility/Professional Professional Modifier Low / Median / High Price $5.90 / $9.13 / $14.47	Professional		$5.90	$9.13	$14.47