Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.30 / $16.30 / $60.58	Facility		$16.30	$16.30	$60.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.30 / $16.30 / $19.78	Professional		$16.30	$16.30	$19.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.26 / $43.56 / $4,655.00	Facility		$28.26	$43.56	$4,655.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.79 / $17.79 / $17.79	Professional		$17.79	$17.79	$17.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.99 / $13.99 / $13.99	Facility		$13.99	$13.99	$13.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.99 / $13.99 / $13.99	Professional		$13.99	$13.99	$13.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.82 / $21.18 / $51.33	Professional		$14.82	$21.18	$51.33
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 $17.51 / $17.64 / $19.27	Professional		$17.51	$17.64	$19.27
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 $13.38 / $14.67 / $16.05	Professional		$13.38	$14.67	$16.05