Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.54 / $18.13 / $18.13	Facility		$15.54	$18.13	$18.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.60 / $8.81 / $10.32	Professional		$8.60	$8.81	$10.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.84 / $62.70 / $188.98	Facility		$26.84	$62.70	$188.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.16 / $9.16 / $9.16	Facility		$9.16	$9.16	$9.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.16 / $9.16 / $9.16	Professional		$9.16	$9.16	$9.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.74 / $84.92 / $200.00	Professional		$13.74	$84.92	$200.00
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 $57.64 / $57.64 / $57.64	Professional		$57.64	$57.64	$57.64
United Facility/Professional Professional Modifier Low / Median / High Price $10.36 / $10.36 / $10.99	Professional		$10.36	$10.36	$10.99