Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.29 / $12.29 / $12.29	Facility		$12.29	$12.29	$12.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.05 / $12.29 / $19.18	Professional		$11.05	$12.29	$19.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.00 / $238.55 / $869.05	Facility		$104.00	$238.55	$869.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $65.00 / $65.00	Professional		$65.00	$65.00	$65.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.09 / $28.09 / $28.09	Facility		$28.09	$28.09	$28.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.51 / $20.51 / $29.94	Professional		$20.51	$20.51	$29.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $77.12 / $104.39 / $114.60	Professional		$77.12	$104.39	$114.60
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 $21.77 / $31.10 / $37.32	Professional		$21.77	$31.10	$37.32
United Facility/Professional Professional Modifier Low / Median / High Price $11.73 / $14.62 / $25.43	Professional		$11.73	$14.62	$25.43