Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.76 / $29.60 / $48.00	Facility		$13.76	$29.60	$48.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.81 / $13.12 / $21.97	Professional		$10.81	$13.12	$21.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.70 / $38.40 / $153.50	Facility		$21.70	$38.40	$153.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $12.32 / $12.32	Professional		$3.50	$12.32	$12.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.24 / $38.27 / $72.95	Facility		$13.24	$38.27	$72.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $18.35 / $24.26	Professional		$8.11	$18.35	$24.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $24.80 / $69.58	Professional		$16.80	$24.80	$69.58
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 $20.80 / $20.80 / $20.80	Professional		$20.80	$20.80	$20.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.56 / $10.98 / $20.00	Professional		$6.56	$10.98	$20.00
United Facility/Professional Professional Modifier Low / Median / High Price $6.72 / $9.60 / $19.20	Professional		$6.72	$9.60	$19.20