Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.62 / $47.29 / $76.06	Facility		$21.62	$47.29	$76.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.62 / $21.62 / $22.97	Professional		$21.62	$21.62	$22.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.15 / $66.92 / $254.01	Facility		$13.15	$66.92	$254.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.97 / $22.97 / $22.97	Facility		$22.97	$22.97	$22.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.97 / $22.97 / $22.97	Professional		$22.97	$22.97	$22.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.59 / $100.00 / $345.40	Professional		$13.59	$100.00	$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 $22.52 / $22.52 / $24.32	Professional		$22.52	$22.52	$24.32