Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.75 / $20.55 / $42.18	Facility		$9.75	$20.55	$42.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.67 / $18.68 / $25.22	Professional		$18.67	$18.68	$25.22
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 $21.54 / $21.54 / $21.54	Professional		$21.54	$21.54	$21.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.65 / $20.65 / $20.65	Facility		$20.65	$20.65	$20.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.65 / $20.65 / $20.65	Professional		$20.65	$20.65	$20.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.84 / $21.98 / $53.56	Professional		$14.84	$21.98	$53.56
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 $20.88 / $23.59 / $25.06	Professional		$20.88	$23.59	$25.06