Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.70 / $22.54 / $38.25	Facility		$12.70	$22.54	$38.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.99 / $11.89 / $23.90	Professional		$6.99	$11.89	$23.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.12 / $41.16 / $138.68	Facility		$19.12	$41.16	$138.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $10.16 / $10.16	Professional		$3.50	$10.16	$10.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.78 / $32.40 / $61.05	Facility		$13.78	$32.40	$61.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.61 / $16.11 / $20.14	Professional		$8.61	$16.11	$20.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.85 / $25.52 / $149.18	Professional		$13.85	$25.52	$149.18
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 $17.14 / $17.14 / $17.14	Professional		$17.14	$17.14	$17.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.60 / $8.40 / $16.48	Professional		$6.60	$8.40	$16.48
United Facility/Professional Professional Modifier Low / Median / High Price $5.54 / $7.91 / $15.40	Professional		$5.54	$7.91	$15.40