Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $23.99 / $117.49	Facility		$10.96	$23.99	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $11.22 / $15.85	Professional		$10.96	$11.22	$15.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $199.53 / $257.04	Facility		$13.18	$199.53	$257.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $13.49	Professional		$13.49	$13.49	$13.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $11.75 / $11.75	Facility		$11.75	$11.75	$11.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $11.75 / $13.49	Professional		$11.75	$11.75	$13.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $17.78 / $48.98	Professional		$10.72	$17.78	$48.98
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 $15.49 / $15.49 / $15.49	Professional		$15.49	$15.49	$15.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $32.36 / $33.11	Professional		$11.48	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $19.95 / $19.95	Facility		$12.02	$19.95	$19.95
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $32.36 / $125.89	Professional		$25.70	$32.36	$125.89