Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.40 / $25.37 / $68.03	Facility		$11.40	$25.37	$68.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.05 / $10.79 / $16.27	Professional		$10.05	$10.79	$16.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.20 / $57.45 / $166.13	Facility		$17.20	$57.45	$166.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $9.19 / $9.67	Professional		$3.50	$9.19	$9.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.12 / $30.71 / $58.07	Facility		$13.12	$30.71	$58.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.19 / $15.28 / $19.21	Professional		$8.19	$15.28	$19.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.03 / $21.98 / $130.53	Professional		$13.03	$21.98	$130.53
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 $16.32 / $16.32 / $16.32	Professional		$16.32	$16.32	$16.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.35 / $8.61 / $15.70	Professional		$5.35	$8.61	$15.70
United Facility/Professional Professional Modifier Low / Median / High Price $5.28 / $7.54 / $14.67	Professional		$5.28	$7.54	$14.67