Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.53 / $14.53 / $14.53	Facility		$14.53	$14.53	$14.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.07 / $14.53 / $25.86	Professional		$12.07	$14.53	$25.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.21 / $65.38 / $226.84	Facility		$30.21	$65.38	$226.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.54 / $15.54 / $28.47	Facility		$15.54	$15.54	$28.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.56 / $13.21 / $26.20	Professional		$10.56	$13.21	$26.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $30.90 / $39.92	Professional		$25.20	$30.90	$39.92
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 $33.64 / $33.64 / $33.64	Professional		$33.64	$33.64	$33.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.85 / $35.20 / $38.82	Professional		$11.85	$35.20	$38.82
United Facility/Professional Facility Modifier Low / Median / High Price $7.43 / $9.97 / $25.88	Facility		$7.43	$9.97	$25.88
United Facility/Professional Professional Modifier Low / Median / High Price $9.15 / $12.91 / $22.87	Professional		$9.15	$12.91	$22.87