Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.19 / $19.44 / $73.08	Facility		$10.19	$19.44	$73.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.60 / $9.60 / $12.70	Professional		$9.60	$9.60	$12.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.79 / $65.94 / $370.28	Facility		$36.79	$65.94	$370.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.19 / $10.19 / $10.19	Facility		$10.19	$10.19	$10.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $10.19 / $10.19	Professional		$10.19	$10.19	$10.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $37.14 / $200.00	Professional		$16.93	$37.14	$200.00
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 $5.06 / $5.19 / $17.50	Professional		$5.06	$5.19	$17.50
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $13.37	Professional		$10.00	$10.00	$13.37