Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.93 / $30.12 / $48.60	Facility		$13.93	$30.12	$48.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.09 / $12.13 / $19.44	Professional		$8.09	$12.13	$19.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.65 / $40.35 / $156.16	Facility		$22.65	$40.35	$156.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $11.85 / $12.47	Professional		$3.50	$11.85	$12.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.52 / $38.75 / $74.45	Facility		$14.52	$38.75	$74.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.61 / $19.52 / $24.78	Professional		$8.61	$19.52	$24.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.01 / $26.95 / $167.34	Professional		$17.01	$26.95	$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 $21.06 / $21.06 / $21.06	Professional		$21.06	$21.06	$21.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.95 / $8.91 / $11.90	Professional		$5.95	$8.91	$11.90
United Facility/Professional Professional Modifier Low / Median / High Price $6.80 / $9.72 / $16.69	Professional		$6.80	$9.72	$16.69