Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.12 / $15.12 / $15.12	Facility		$15.12	$15.12	$15.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.60 / $15.12 / $23.60	Professional		$13.60	$15.12	$23.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $157.50 / $601.65	Facility		$72.00	$157.50	$601.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.60 / $27.60 / $27.60	Facility		$27.60	$27.60	$27.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $22.03 / $30.38	Professional		$20.14	$22.03	$30.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $31.50 / $42.71 / $48.96	Professional		$31.50	$42.71	$48.96
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.60 / $36.58 / $40.00	Professional		$25.60	$36.58	$40.00
United Facility/Professional Professional Modifier Low / Median / High Price $14.44 / $18.00 / $30.90	Professional		$14.44	$18.00	$30.90