Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $23.99 / $29.51	Facility		$11.75	$23.99	$29.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $11.75 / $25.70	Professional		$10.96	$11.75	$25.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $57.54 / $190.55	Facility		$34.67	$57.54	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Facility		$14.45	$14.45	$14.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Professional		$14.45	$14.45	$14.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $162.18 / $229.09	Professional		$123.03	$162.18	$229.09
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 $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Facility		$14.45	$14.45	$14.45
United Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $14.79	Professional		$14.45	$14.45	$14.79