Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.52 / $28.86 / $46.40	Facility		$14.52	$28.86	$46.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $13.85 / $27.32	Professional		$12.30	$13.85	$27.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.80 / $76.80 / $223.51	Facility		$22.80	$76.80	$223.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $13.01 / $13.01	Professional		$3.50	$13.01	$13.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.19 / $40.40 / $77.43	Facility		$16.19	$40.40	$77.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.40 / $19.41 / $25.81	Professional		$9.40	$19.41	$25.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.23 / $29.56 / $1,196.68	Professional		$17.23	$29.56	$1,196.68
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 $21.96 / $21.96 / $21.96	Professional		$21.96	$21.96	$21.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.23 / $9.28 / $16.89	Professional		$6.23	$9.28	$16.89
United Facility/Professional Facility Modifier Low / Median / High Price $8.28 / $33.78 / $33.78	Facility		$8.28	$33.78	$33.78
United Facility/Professional Professional Modifier Low / Median / High Price $7.09 / $10.88 / $17.75	Professional		$7.09	$10.88	$17.75