Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $21.38 / $29.51	Facility		$14.13	$21.38	$29.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $19.05	Professional		$14.13	$14.13	$19.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $48.98 / $269.15	Facility		$21.38	$48.98	$269.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $17.78 / $17.78	Professional		$15.85	$17.78	$17.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Facility		$14.13	$14.13	$14.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $16.60	Professional		$14.13	$14.13	$16.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $30.20 / $42.66	Professional		$14.45	$30.20	$42.66
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 $18.62 / $18.62 / $18.62	Professional		$18.62	$18.62	$18.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $30.20 / $30.20	Professional		$19.05	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.45 / $22.91	Facility		$14.13	$14.45	$22.91
United Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $15.14 / $15.85	Professional		$14.13	$15.14	$15.85