Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.53 / $24.20 / $65.36	Facility		$11.53	$24.20	$65.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.34 / $10.30 / $15.22	Professional		$6.34	$10.30	$15.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.37 / $38.40 / $125.85	Facility		$17.37	$38.40	$125.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $8.76 / $9.22	Professional		$3.50	$8.76	$9.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.52 / $29.00 / $55.10	Facility		$12.52	$29.00	$55.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.83 / $14.46 / $18.41	Professional		$7.83	$14.46	$18.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.58 / $23.21 / $108.16	Professional		$12.58	$23.21	$108.16
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 $15.57 / $15.57 / $15.57	Professional		$15.57	$15.57	$15.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.99 / $6.59 / $12.57	Professional		$5.99	$6.59	$12.57
United Facility/Professional Facility Modifier Low / Median / High Price $8.23 / $8.23 / $11.98	Facility		$8.23	$8.23	$11.98
United Facility/Professional Professional Modifier Low / Median / High Price $5.03 / $8.15 / $16.43	Professional		$5.03	$8.15	$16.43