Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.31 / $12.31 / $12.31	Facility		$12.31	$12.31	$12.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.31 / $13.26 / $21.75	Professional		$12.31	$13.26	$21.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.21 / $51.11 / $214.02	Facility		$30.21	$51.11	$214.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.45 / $18.89 / $18.89	Professional		$18.45	$18.89	$18.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.62 / $16.62 / $27.97	Facility		$16.62	$16.62	$27.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.13 / $16.62 / $28.88	Professional		$12.13	$16.62	$28.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $24.86 / $30.83 / $38.29	Professional		$24.86	$30.83	$38.29
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 $32.32 / $32.32 / $32.32	Professional		$32.32	$32.32	$32.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.03 / $14.34 / $15.05	Professional		$10.03	$14.34	$15.05
United Facility/Professional Facility Modifier Low / Median / High Price $16.25 / $16.25 / $16.25	Facility		$16.25	$16.25	$16.25
United Facility/Professional Professional Modifier Low / Median / High Price $10.34 / $12.40 / $21.29	Professional		$10.34	$12.40	$21.29