Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $15.85 / $117.49	Facility		$7.08	$15.85	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.08 / $13.18	Professional		$7.08	$7.08	$13.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $194.98 / $257.04	Facility		$21.88	$194.98	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $7.94 / $7.94	Facility		$7.94	$7.94	$7.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $7.94 / $7.94	Professional		$7.94	$7.94	$7.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $10.00 / $19.95	Professional		$7.08	$10.00	$19.95
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 $10.23 / $10.23 / $10.23	Professional		$10.23	$10.23	$10.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $32.36 / $33.11	Professional		$7.59	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $12.59 / $12.59	Facility		$7.59	$12.59	$12.59
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $8.51 / $125.89	Professional		$7.59	$8.51	$125.89