Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.74 / $9.74 / $9.74	Facility		$9.74	$9.74	$9.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.21 / $7.59 / $10.69	Professional		$5.21	$7.59	$10.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.62 / $20.79 / $27.44	Facility		$14.62	$20.79	$27.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $7.00 / $7.00	Professional		$7.00	$7.00	$7.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.11 / $13.11 / $13.11	Facility		$13.11	$13.11	$13.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.07 / $9.07 / $13.12	Professional		$9.07	$9.07	$13.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $193.92 / $265.68 / $307.20	Professional		$193.92	$265.68	$307.20
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 $30.00 / $30.00 / $2,500.00	Professional		$30.00	$30.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $4.76 / $7.17 / $12.72	Professional		$4.76	$7.17	$12.72