Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.89 / $143.13 / $456.54	Facility		$17.89	$143.13	$456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $14.88 / $37.52	Professional		$14.73	$14.88	$37.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.72 / $135.29 / $250.48	Facility		$63.72	$135.29	$250.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.04 / $17.04 / $17.04	Professional		$17.04	$17.04	$17.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.73 / $14.73 / $14.73	Facility		$14.73	$14.73	$14.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $14.73 / $15.29	Professional		$14.73	$14.73	$15.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $19.68 / $35.69	Professional		$14.70	$19.68	$35.69
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 $19.14 / $19.14 / $19.14	Professional		$19.14	$19.14	$19.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.71 / $20.01 / $22.07	Professional		$14.71	$20.01	$22.07
United Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $14.73 / $16.14	Professional		$14.73	$14.73	$16.14