Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $11.75 / $17.38	Facility		$6.76	$11.75	$17.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.03 / $18.62	Professional		$6.03	$6.03	$18.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $63.10 / $891.25	Facility		$21.38	$63.10	$891.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $6.76 / $6.76	Facility		$6.76	$6.76	$6.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $6.76 / $6.76	Professional		$6.76	$6.76	$6.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $38.02 / $199.53	Professional		$15.14	$38.02	$199.53
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 $20.89 / $20.89 / $20.89	Professional		$20.89	$20.89	$20.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $16.98 / $81.28	Professional		$16.60	$16.98	$81.28
United Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.22 / $35.48	Facility		$16.22	$16.22	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $6.76 / $21.88	Professional		$6.76	$6.76	$21.88