Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $24.55	Facility		$12.88	$12.88	$24.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.79 / $24.55	Professional		$10.00	$14.79	$24.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $61.66 / $208.93	Facility		$36.31	$61.66	$208.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $17.78 / $17.78	Professional		$14.13	$17.78	$17.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $26.92	Facility		$15.85	$15.85	$26.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $13.49 / $16.98	Professional		$9.77	$13.49	$16.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $21.88 / $33.88	Professional		$17.78	$21.88	$33.88
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 $30.90 / $30.90 / $30.90	Professional		$30.90	$30.90	$30.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $11.48 / $11.48	Professional		$11.48	$11.48	$11.48
United Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $9.33 / $24.55	Facility		$6.92	$9.33	$24.55
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $12.02 / $19.05	Professional		$8.51	$12.02	$19.05