Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $17.38 / $21.38	Facility		$10.47	$17.38	$21.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $14.13	Professional		$10.00	$10.00	$14.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $54.95 / $162.18	Facility		$15.49	$54.95	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $10.47 / $10.47	Facility		$10.47	$10.47	$10.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $12.02	Professional		$10.47	$10.47	$12.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $22.39 / $38.90	Professional		$10.23	$22.39	$38.90
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 $13.49 / $13.49 / $13.49	Professional		$13.49	$13.49	$13.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $14.13 / $15.14	Professional		$10.72	$14.13	$15.14
United Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $10.47 / $17.38	Facility		$10.47	$10.47	$17.38
United Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.96 / $11.48	Professional		$10.47	$10.96	$11.48