Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.86 / $8.25 / $17.12	Facility		$5.86	$8.25	$17.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.86 / $8.15 / $8.56	Professional		$5.86	$8.15	$8.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.01 / $112.33 / $437.19	Facility		$49.01	$112.33	$437.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $13.85 / $15.64	Professional		$10.00	$13.85	$15.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.15 / $8.15 / $8.15	Facility		$8.15	$8.15	$8.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.15 / $8.15 / $15.91	Professional		$8.15	$8.15	$15.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.15 / $33.36 / $174.23	Professional		$8.15	$33.36	$174.23
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 $10.60 / $10.60 / $10.60	Professional		$10.60	$10.60	$10.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $6.71 / $7.19	Professional		$4.79	$6.71	$7.19
United Facility/Professional Professional Modifier Low / Median / High Price $8.15 / $8.64 / $10.37	Professional		$8.15	$8.64	$10.37