Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.91 / $26.84 / $40.26	Facility		$12.91	$26.84	$40.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.70 / $11.00 / $15.43	Professional		$6.70	$11.00	$15.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.78 / $38.40 / $138.00	Facility		$18.78	$38.40	$138.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $10.33 / $10.64	Professional		$3.50	$10.33	$10.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.08 / $32.09 / $61.05	Facility		$13.08	$32.09	$61.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.83 / $16.52 / $20.65	Professional		$7.83	$16.52	$20.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.09 / $23.49 / $73.80	Professional		$14.09	$23.49	$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 $17.45 / $17.45 / $17.45	Professional		$17.45	$17.45	$17.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.71 / $9.21 / $16.78	Professional		$6.71	$9.21	$16.78
United Facility/Professional Professional Modifier Low / Median / High Price $5.64 / $8.98 / $16.10	Professional		$5.64	$8.98	$16.10