Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.36 / $23.92 / $68.11	Facility		$19.36	$23.92	$68.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.35 / $19.36 / $24.39	Professional		$19.35	$19.36	$24.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,603.60 / $4,622.80 / $8,200.00	Facility		$3,603.60	$4,622.80	$8,200.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.32 / $22.32 / $22.32	Professional		$22.32	$22.32	$22.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.40 / $21.40 / $21.40	Facility		$21.40	$21.40	$21.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.40 / $21.40 / $21.40	Professional		$21.40	$21.40	$21.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.84 / $22.26 / $57.04	Professional		$14.84	$22.26	$57.04
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 $17.41 / $17.60 / $19.29	Professional		$17.41	$17.60	$19.29
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 $22.78 / $25.51 / $27.34	Professional		$22.78	$25.51	$27.34