Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.48 / $13.48 / $13.48	Facility		$13.48	$13.48	$13.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.19 / $13.48 / $23.98	Professional		$11.19	$13.48	$23.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.57 / $64.92 / $210.25	Facility		$36.57	$64.92	$210.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.06 / $17.98 / $17.98	Professional		$14.06	$17.98	$17.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.93 / $15.93 / $26.39	Facility		$15.93	$15.93	$26.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.78 / $13.54 / $27.75	Professional		$9.78	$13.54	$27.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.35 / $22.55 / $33.59	Professional		$18.35	$22.55	$33.59
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 $31.19 / $31.19 / $31.19	Professional		$31.19	$31.19	$31.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.44 / $29.99 / $35.99	Professional		$11.44	$29.99	$35.99
United Facility/Professional Professional Modifier Low / Median / High Price $8.48 / $11.97 / $21.02	Professional		$8.48	$11.97	$21.02