Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.67 / $7.67 / $7.67	Facility		$7.67	$7.67	$7.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $5.98 / $8.42	Professional		$4.13	$5.98	$8.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $200.54 / $302.94 / $399.84	Facility		$200.54	$302.94	$399.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.70 / $102.00 / $102.00	Professional		$86.70	$102.00	$102.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.21 / $12.21 / $12.21	Facility		$12.21	$12.21	$12.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.36 / $21.36 / $21.36	Professional		$21.36	$21.36	$21.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $39.78 / $43.52 / $53.97	Professional		$39.78	$43.52	$53.97
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.98 / $29.37 / $2,500.00	Professional		$27.98	$29.37	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $3.75 / $5.79 / $10.30	Professional		$3.75	$5.79	$10.30