Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.03 / $32.46 / $53.70	Facility		$16.03	$32.46	$53.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.03 / $16.03 / $17.03	Professional		$16.03	$16.03	$17.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.20 / $61.38 / $258.27	Facility		$35.20	$61.38	$258.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Facility		$16.98	$16.98	$16.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Professional		$16.98	$16.98	$16.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.82 / $8.15 / $120.00	Professional		$5.82	$8.15	$120.00
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 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $20.04 / $20.04 / $21.26	Professional		$20.04	$20.04	$21.26