Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.73 / $12.73 / $12.73	Facility		$12.73	$12.73	$12.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.22 / $13.28 / $22.79	Professional		$12.22	$13.28	$22.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.21 / $51.11 / $221.41	Facility		$30.21	$51.11	$221.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.10 / $19.55 / $19.55	Professional		$19.10	$19.55	$19.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.30 / $16.30 / $32.11	Facility		$16.30	$16.30	$32.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.91 / $16.30 / $30.00	Professional		$11.91	$16.30	$30.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $25.73 / $35.86 / $43.77	Professional		$25.73	$35.86	$43.77
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 $33.45 / $33.45 / $33.45	Professional		$33.45	$33.45	$33.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $14.85 / $15.59	Professional		$10.39	$14.85	$15.59
United Facility/Professional Professional Modifier Low / Median / High Price $10.70 / $12.83 / $22.62	Professional		$10.70	$12.83	$22.62