Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.73 / $12.92 / $25.40	Facility		$9.73	$12.92	$25.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.73 / $10.68 / $13.45	Professional		$9.73	$10.68	$13.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.00 / $84.74 / $250.88	Facility		$57.00	$84.74	$250.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $19.30 / $21.82	Professional		$19.30	$19.30	$21.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $10.68 / $10.68	Facility		$10.68	$10.68	$10.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $10.68 / $23.03	Professional		$10.68	$10.68	$23.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $47.97 / $111.16	Professional		$10.68	$47.97	$111.16
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 $13.88 / $13.88 / $13.88	Professional		$13.88	$13.88	$13.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $14.28 / $15.30	Professional		$10.19	$14.28	$15.30
United Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $11.30 / $12.71	Professional		$10.68	$11.30	$12.71