Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.69 / $9.69 / $9.69	Facility		$9.69	$9.69	$9.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.55 / $9.86 / $15.08	Professional		$7.55	$9.86	$15.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.26 / $37.65 / $162.12	Facility		$22.26	$37.65	$162.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.18 / $12.18 / $23.18	Facility		$12.18	$12.18	$23.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.89 / $12.18 / $21.75	Professional		$8.89	$12.18	$21.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.85 / $26.39 / $33.52	Professional		$18.85	$26.39	$33.52
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 $24.51 / $24.51 / $24.51	Professional		$24.51	$24.51	$24.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.60 / $10.87 / $11.41	Professional		$7.60	$10.87	$11.41
United Facility/Professional Professional Modifier Low / Median / High Price $7.58 / $9.40 / $16.51	Professional		$7.58	$9.40	$16.51