Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.84 / $10.84 / $10.84	Facility		$10.84	$10.84	$10.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.01 / $10.84 / $19.30	Professional		$9.01	$10.84	$19.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.21 / $52.24 / $169.32	Facility		$30.21	$52.24	$169.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.81 / $14.48 / $14.48	Professional		$9.81	$14.48	$14.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.60 / $11.60 / $21.24	Facility		$11.60	$11.60	$21.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $11.60 / $22.50	Professional		$9.86	$11.60	$22.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.34 / $34.15 / $46.08	Professional		$18.34	$34.15	$46.08
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 $25.10 / $25.10 / $25.10	Professional		$25.10	$25.10	$25.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $26.26 / $28.97	Professional		$8.75	$26.26	$28.97
United Facility/Professional Professional Modifier Low / Median / High Price $6.83 / $9.64 / $16.92	Professional		$6.83	$9.64	$16.92