Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.39 / $12.57 / $20.78	Facility		$10.39	$12.57	$20.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $10.39 / $11.43	Professional		$10.39	$10.39	$11.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.80 / $54.70 / $193.00	Facility		$23.80	$54.70	$193.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.39 / $10.39 / $10.39	Facility		$10.39	$10.39	$10.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $10.39 / $12.04	Professional		$10.39	$10.39	$12.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.83 / $12.04 / $31.77	Professional		$8.83	$12.04	$31.77
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 $13.51 / $13.51 / $13.51	Professional		$13.51	$13.51	$13.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.41 / $14.57 / $15.62	Professional		$10.41	$14.57	$15.62
United Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $10.98 / $11.64	Professional		$10.39	$10.98	$11.64