Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.39 / $24.78 / $54.94	Facility		$16.39	$24.78	$54.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.39 / $16.52 / $21.79	Professional		$16.39	$16.52	$21.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.72 / $65.28 / $323.51	Facility		$42.72	$65.28	$323.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.52 / $16.52 / $16.52	Facility		$16.52	$16.52	$16.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $16.52 / $16.52	Professional		$16.52	$16.52	$16.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.73 / $24.78 / $72.16	Professional		$15.73	$24.78	$72.16
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 $21.48 / $21.48 / $21.48	Professional		$21.48	$21.48	$21.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.96 / $15.96 / $16.40	Professional		$15.96	$15.96	$16.40
United Facility/Professional Facility Modifier Low / Median / High Price $15.62 / $25.77 / $25.77	Facility		$15.62	$25.77	$25.77
United Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $16.52 / $18.80	Professional		$16.52	$16.52	$18.80