Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.37 / $14.37 / $14.37	Facility		$14.37	$14.37	$14.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.37 / $14.37 / $14.37	Professional		$14.37	$14.37	$14.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.91 / $111.04 / $222.35	Facility		$51.91	$111.04	$222.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.70 / $13.70 / $14.38	Professional		$13.70	$13.70	$14.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.21 / $14.21 / $14.21	Facility		$14.21	$14.21	$14.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.08 / $14.21 / $21.75	Professional		$12.08	$14.21	$21.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $200.00 / $345.40	Professional		$100.00	$200.00	$345.40
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 $8.09 / $10.81 / $18.92	Professional		$8.09	$10.81	$18.92