Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.67 / $29.43 / $43.65	Facility		$13.67	$29.43	$43.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.95 / $13.03 / $29.43	Professional		$7.95	$13.03	$29.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.24 / $40.35 / $152.61	Facility		$22.24	$40.35	$152.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $11.29 / $12.24	Professional		$3.50	$11.29	$12.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.22 / $38.01 / $72.95	Facility		$14.22	$38.01	$72.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $19.13 / $24.26	Professional		$8.42	$19.13	$24.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.68 / $26.35 / $73.80	Professional		$16.68	$26.35	$73.80
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 $20.66 / $20.66 / $20.66	Professional		$20.66	$20.66	$20.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.95 / $8.84 / $19.86	Professional		$7.95	$8.84	$19.86
United Facility/Professional Professional Modifier Low / Median / High Price $6.67 / $9.52 / $16.70	Professional		$6.67	$9.52	$16.70