Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.08 / $16.19 / $26.47	Facility		$14.08	$16.19	$26.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.08 / $14.31 / $15.49	Professional		$14.08	$14.31	$15.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.22 / $56.73 / $270.55	Facility		$37.22	$56.73	$270.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.80 / $17.84 / $17.84	Professional		$15.80	$17.84	$17.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.31 / $14.31 / $14.31	Facility		$14.31	$14.31	$14.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.31 / $14.31 / $16.75	Professional		$14.31	$14.31	$16.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.31 / $23.97 / $39.36	Professional		$14.31	$23.97	$39.36
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 $18.60 / $18.60 / $18.60	Professional		$18.60	$18.60	$18.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.41 / $30.00 / $30.00	Professional		$17.41	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $14.31 / $15.17 / $15.93	Professional		$14.31	$15.17	$15.93