Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $22.49 / $127.06	Facility		$10.23	$22.49	$127.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.16 / $10.77 / $16.64	Professional		$8.16	$10.77	$16.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.20 / $46.90 / $120.40	Facility		$27.20	$46.90	$120.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Professional		$10.00	$10.00	$10.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $70.00 / $85.00	Facility		$60.00	$70.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.83 / $22.79 / $108.10	Professional		$11.83	$22.79	$108.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.11 / $18.16 / $39.39	Professional		$12.11	$18.16	$39.39
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $2,429.96 / $2,429.96 / $2,429.96	Facility		$2,429.96	$2,429.96	$2,429.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.35 / $15.43 / $16.64	Professional		$15.35	$15.43	$16.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.32 / $15.74 / $32.34	Professional		$6.32	$15.74	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $12.01 / $13.87 / $20.23	Professional		$12.01	$13.87	$20.23