Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.15 / $14.15 / $14.15	Facility		$14.15	$14.15	$14.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.51 / $14.15 / $25.19	Professional		$10.51	$14.15	$25.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.21 / $63.66 / $220.86	Facility		$30.21	$63.66	$220.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.77 / $18.89 / $18.89	Professional		$14.77	$18.89	$18.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.09 / $15.15 / $27.72	Facility		$12.09	$15.15	$27.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $29.25	Professional		$12.88	$12.88	$29.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $24.24 / $29.99 / $38.40	Professional		$24.24	$29.99	$38.40
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 $32.76 / $32.76 / $32.76	Professional		$32.76	$32.76	$32.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.01 / $34.27 / $37.79	Professional		$12.01	$34.27	$37.79
United Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.58 / $21.59	Professional		$8.91	$12.58	$21.59