Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.98 / $41.95 / $196.00	Facility		$20.98	$41.95	$196.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $16.78 / $30.31	Professional		$10.23	$16.78	$30.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.71 / $32.94 / $196.30	Facility		$17.71	$32.94	$196.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $15.75 / $15.75	Professional		$3.50	$15.75	$15.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.30 / $48.94 / $93.81	Facility		$14.30	$48.94	$93.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $23.54 / $30.98	Professional		$6.31	$23.54	$30.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.44 / $30.69 / $100.00	Professional		$18.44	$30.69	$100.00
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 $26.60 / $26.60 / $26.60	Professional		$26.60	$26.60	$26.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.51 / $14.04 / $25.58	Professional		$6.51	$14.04	$25.58
United Facility/Professional Facility Modifier Low / Median / High Price $15.12 / $15.12 / $15.12	Facility		$15.12	$15.12	$15.12
United Facility/Professional Professional Modifier Low / Median / High Price $6.30 / $8.59 / $20.46	Professional		$6.30	$8.59	$20.46