Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.55 / $24.50 / $33.67	Facility		$10.55	$24.50	$33.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.49 / $10.05 / $21.44	Professional		$6.49	$10.05	$21.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.76 / $38.40 / $128.71	Facility		$17.76	$38.40	$128.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $9.43 / $9.43	Professional		$3.50	$9.43	$9.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.79 / $29.86 / $56.58	Facility		$12.79	$29.86	$56.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $14.87 / $18.80	Professional		$8.00	$14.87	$18.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $23.70 / $167.34	Professional		$12.86	$23.70	$167.34
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 $15.93 / $15.93 / $15.93	Professional		$15.93	$15.93	$15.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.13 / $8.40 / $15.31	Professional		$6.13	$8.40	$15.31
United Facility/Professional Facility Modifier Low / Median / High Price $12.25 / $12.86 / $30.26	Facility		$12.25	$12.86	$30.26
United Facility/Professional Professional Modifier Low / Median / High Price $5.15 / $7.51 / $12.62	Professional		$5.15	$7.51	$12.62