Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.09 / $10.09 / $40.95	Facility		$10.09	$10.09	$40.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $10.09 / $10.92	Professional		$10.09	$10.09	$10.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.90 / $125.14 / $620.14	Facility		$81.90	$125.14	$620.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.09 / $10.09 / $10.09	Facility		$10.09	$10.09	$10.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $10.09 / $13.33	Professional		$10.09	$10.09	$13.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $9.08 / $14.13 / $54.32	Professional		$9.08	$14.13	$54.32
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 $13.12 / $13.12 / $13.12	Professional		$13.12	$13.12	$13.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.50 / $30.00 / $30.00	Professional		$16.50	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $10.09 / $11.06	Professional		$10.09	$10.09	$11.06