Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.73 / $30.23 / $109.74	Facility		$15.73	$30.23	$109.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.58 / $13.40 / $30.23	Professional		$12.58	$13.40	$30.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.71 / $49.32 / $156.75	Facility		$17.71	$49.32	$156.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $12.58 / $16.34	Professional		$4.50	$12.58	$16.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.41 / $39.08 / $75.94	Facility		$11.41	$39.08	$75.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.68 / $19.00 / $24.13	Professional		$6.68	$19.00	$24.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.07 / $23.04 / $80.12	Professional		$13.07	$23.04	$80.12
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 $21.24 / $21.24 / $21.24	Professional		$21.24	$21.24	$21.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.17 / $11.21 / $20.43	Professional		$8.17	$11.21	$20.43
United Facility/Professional Facility Modifier Low / Median / High Price $4.09 / $6.53 / $19.61	Facility		$4.09	$6.53	$19.61
United Facility/Professional Professional Modifier Low / Median / High Price $6.86 / $8.17 / $16.82	Professional		$6.86	$8.17	$16.82