Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.21 / $95.86 / $219.60	Facility		$21.21	$95.86	$219.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.48 / $12.94 / $19.34	Professional		$12.48	$12.94	$19.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.12 / $123.30 / $249.91	Facility		$76.12	$123.30	$249.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $13.00 / $13.00	Professional		$13.00	$13.00	$13.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.26 / $13.26 / $13.26	Facility		$13.26	$13.26	$13.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.26 / $13.26 / $13.26	Professional		$13.26	$13.26	$13.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $54.91 / $93.31 / $158.53	Professional		$54.91	$93.31	$158.53
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 $121.30 / $121.30 / $121.30	Professional		$121.30	$121.30	$121.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Facility Modifier Low / Median / High Price $72.20 / $97.66 / $97.66	Facility		$72.20	$97.66	$97.66
United Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $13.00 / $14.25	Professional		$13.00	$13.00	$14.25