Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.11 / $14.11 / $14.11	Facility		$14.11	$14.11	$14.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.87 / $14.16 / $23.12	Professional		$11.87	$14.16	$23.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.39 / $56.49 / $245.36	Facility		$33.39	$56.49	$245.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.17 / $21.68 / $21.68	Professional		$21.17	$21.68	$21.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.44 / $18.44 / $32.26	Facility		$18.44	$18.44	$32.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.46 / $18.44 / $33.00	Professional		$13.46	$18.44	$33.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $27.59 / $33.26 / $42.90	Professional		$27.59	$33.26	$42.90
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 $37.08 / $37.08 / $37.08	Professional		$37.08	$37.08	$37.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.50 / $16.44 / $17.26	Professional		$11.50	$16.44	$17.26
United Facility/Professional Professional Modifier Low / Median / High Price $11.05 / $14.23 / $25.19	Professional		$11.05	$14.23	$25.19