Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.62 / $23.24 / $38.93	Facility		$11.62	$23.24	$38.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.62 / $11.62 / $12.34	Professional		$11.62	$11.62	$12.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.97 / $56.10 / $199.58	Facility		$34.97	$56.10	$199.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.52 / $14.52 / $14.52	Facility		$14.52	$14.52	$14.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.52 / $14.52 / $14.52	Professional		$14.52	$14.52	$14.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $114.23 / $163.05 / $214.80	Professional		$114.23	$163.05	$214.80
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 $14.52 / $14.52 / $15.41	Professional		$14.52	$14.52	$15.41