Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.57 / $17.57 / $17.57	Facility		$17.57	$17.57	$17.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.60 / $17.57 / $31.29	Professional		$14.60	$17.57	$31.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.15 / $79.09 / $274.44	Facility		$38.15	$79.09	$274.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.34 / $23.47 / $23.47	Professional		$18.34	$23.47	$23.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.95 / $18.95 / $34.42	Facility		$18.95	$18.95	$34.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.11 / $18.95 / $36.38	Professional		$16.11	$18.95	$36.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $29.73 / $52.21 / $74.23	Professional		$29.73	$52.21	$74.23
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 $40.68 / $40.68 / $40.99	Professional		$40.68	$40.68	$40.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.11 / $43.81 / $46.94	Professional		$39.11	$43.81	$46.94
United Facility/Professional Professional Modifier Low / Median / High Price $11.08 / $15.62 / $26.81	Professional		$11.08	$15.62	$26.81