Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.96 / $28.35 / $45.60	Facility		$12.96	$28.35	$45.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.96 / $12.96 / $13.77	Professional		$12.96	$12.96	$13.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.20 / $45.73 / $183.49	Facility		$27.20	$45.73	$183.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.25 / $13.25 / $13.25	Facility		$13.25	$13.25	$13.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $13.25 / $15.63	Professional		$13.25	$13.25	$15.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $20.41 / $200.00 / $345.40	Professional		$20.41	$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 / $2,500.00	Professional		$30.00	$30.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $13.25 / $14.58	Professional		$13.25	$13.25	$14.58