Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.24 / $21.80 / $192.00	Facility		$10.24	$21.80	$192.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.63 / $9.15 / $18.96	Professional		$5.63	$9.15	$18.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.42 / $32.93 / $111.79	Facility		$15.42	$32.93	$111.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $8.19 / $8.19	Professional		$3.50	$8.19	$8.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.12 / $25.59 / $49.14	Facility		$11.12	$25.59	$49.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.95 / $12.80 / $16.41	Professional		$6.95	$12.80	$16.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.17 / $18.75 / $106.29	Professional		$11.17	$18.75	$106.29
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 $13.83 / $13.83 / $13.83	Professional		$13.83	$13.83	$13.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.32 / $7.30 / $13.30	Professional		$5.32	$7.30	$13.30
United Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $6.52 / $10.64	Professional		$4.47	$6.52	$10.64