Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.63 / $9.63 / $9.63	Facility		$9.63	$9.63	$9.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $9.63 / $15.01	Professional		$8.00	$9.63	$15.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.03 / $46.65 / $150.13	Facility		$27.03	$46.65	$150.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.53 / $12.86 / $12.86	Professional		$8.53	$12.86	$12.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.29 / $10.29 / $16.03	Facility		$10.29	$10.29	$16.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $10.29 / $19.88	Professional		$8.75	$10.29	$19.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $30.36 / $40.96	Professional		$16.05	$30.36	$40.96
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 $22.28 / $22.28 / $22.28	Professional		$22.28	$22.28	$22.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.16 / $23.31 / $25.71	Professional		$8.16	$23.31	$25.71
United Facility/Professional Professional Modifier Low / Median / High Price $6.06 / $8.47 / $15.14	Professional		$6.06	$8.47	$15.14