Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $28.18 / $95.50	Facility		$14.13	$28.18	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.13 / $23.99	Professional		$10.96	$14.13	$23.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $53.70 / $190.55	Facility		$33.88	$53.70	$190.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $20.89 / $20.89	Professional		$16.98	$20.89	$20.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $30.90	Facility		$18.62	$18.62	$30.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $31.62	Professional		$13.49	$13.49	$31.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $33.11 / $43.65	Professional		$26.30	$33.11	$43.65
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 $35.48 / $35.48 / $35.48	Professional		$35.48	$35.48	$35.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $20.89	Professional		$14.45	$14.45	$20.89
United Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $21.88 / $39.81	Facility		$10.47	$21.88	$39.81
United Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $13.80 / $21.38	Professional		$10.23	$13.80	$21.38