Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.91 / $21.16 / $33.20	Facility		$9.91	$21.16	$33.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.43 / $10.28 / $21.16	Professional		$9.43	$10.28	$21.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.32 / $29.28 / $127.08	Facility		$16.32	$29.28	$127.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $4.50 / $15.09	Professional		$4.50	$4.50	$15.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.37 / $26.47 / $55.10	Facility		$15.37	$26.47	$55.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.11 / $14.45 / $21.79	Professional		$6.11	$14.45	$21.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.30 / $21.16 / $147.96	Professional		$13.30	$21.16	$147.96
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 $15.72 / $15.72 / $15.72	Professional		$15.72	$15.72	$15.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.44 / $16.44 / $18.14	Professional		$16.44	$16.44	$18.14
United Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $12.58 / $19.75	Professional		$7.25	$12.58	$19.75