Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $22.91 / $35.48	Facility		$13.80	$22.91	$35.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $13.80 / $26.30	Professional		$12.88	$13.80	$26.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $56.23 / $309.03	Facility		$20.42	$56.23	$309.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $10.23 / $11.75	Professional		$10.23	$10.23	$11.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $13.80	Facility		$13.80	$13.80	$13.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $17.78	Professional		$13.80	$13.80	$17.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $45.71 / $77.62	Professional		$12.30	$45.71	$77.62
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 $15.85 / $15.85 / $15.85	Professional		$15.85	$15.85	$15.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $19.05 / $20.42	Professional		$12.59	$19.05	$20.42
United Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $12.30 / $23.44	Facility		$12.30	$12.30	$23.44
United Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $14.45 / $15.85	Professional		$13.80	$14.45	$15.85