Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.40 / $21.06 / $34.84	Facility		$10.40	$21.06	$34.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.40 / $10.40 / $11.05	Professional		$10.40	$10.40	$11.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.00 / $41.85 / $176.10	Facility		$24.00	$41.85	$176.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.50 / $25.50 / $25.50	Professional		$25.50	$25.50	$25.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.05 / $11.05 / $11.05	Facility		$11.05	$11.05	$11.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.05 / $11.05 / $11.05	Professional		$11.05	$11.05	$11.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.05 / $32.22 / $345.40	Professional		$13.05	$32.22	$345.40
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 $3.88 / $3.88 / $3.88	Professional		$3.88	$3.88	$3.88
United Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $13.00 / $13.39	Professional		$13.00	$13.00	$13.39