Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $37.65 / $159.81	Facility		$15.14	$37.65	$159.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.28 / $11.79 / $18.05	Professional		$10.28	$11.79	$18.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.58 / $62.70 / $169.62	Facility		$23.58	$62.70	$169.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $10.56 / $13.71	Professional		$3.50	$10.56	$13.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.33 / $33.26 / $62.54	Facility		$14.33	$33.26	$62.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.96 / $16.52 / $20.81	Professional		$8.96	$16.52	$20.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $24.88 / $150.00	Professional		$14.40	$24.88	$150.00
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 $17.82 / $17.82 / $17.82	Professional		$17.82	$17.82	$17.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.86 / $9.41 / $17.14	Professional		$6.86	$9.41	$17.14
United Facility/Professional Professional Modifier Low / Median / High Price $5.76 / $8.23 / $14.12	Professional		$5.76	$8.23	$14.12