Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.58 / $10.58 / $10.58	Facility		$10.58	$10.58	$10.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $10.77 / $16.46	Professional		$10.19	$10.77	$16.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.00 / $40.35 / $177.03	Facility		$24.00	$40.35	$177.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.34 / $13.34 / $21.64	Facility		$13.34	$13.34	$21.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.74 / $13.34 / $24.00	Professional		$9.74	$13.34	$24.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.67 / $25.52 / $31.03	Professional		$19.67	$25.52	$31.03
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 $26.75 / $26.75 / $26.75	Professional		$26.75	$26.75	$26.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $11.89 / $12.48	Professional		$8.32	$11.89	$12.48
United Facility/Professional Professional Modifier Low / Median / High Price $8.86 / $10.27 / $18.19	Professional		$8.86	$10.27	$18.19