Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.01 / $18.59 / $446.31	Facility		$13.01	$18.59	$446.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.40 / $12.66 / $22.49	Professional		$3.40	$12.66	$22.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $261.80 / $555.79 / $1,029.00	Facility		$261.80	$555.79	$1,029.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $70.00 / $70.00	Professional		$70.00	$70.00	$70.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.32 / $17.32 / $17.32	Facility		$17.32	$17.32	$17.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $17.32 / $17.32	Professional		$17.32	$17.32	$17.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $111.24 / $149.04 / $193.32	Professional		$111.24	$149.04	$193.32
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $2,500.00	Professional		$30.00	$30.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $20.38 / $20.38 / $22.34	Professional		$20.38	$20.38	$22.34