Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.41 / $13.41 / $13.41	Facility		$13.41	$13.41	$13.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.27 / $13.68 / $24.95	Professional		$11.27	$13.68	$24.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.80 / $53.80 / $233.15	Facility		$31.80	$53.80	$233.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.11 / $20.60 / $20.60	Professional		$20.11	$20.60	$20.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.89 / $16.89 / $30.73	Facility		$16.89	$16.89	$30.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.34 / $16.89 / $31.50	Professional		$12.34	$16.89	$31.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $27.10 / $32.70 / $41.71	Professional		$27.10	$32.70	$41.71
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 $35.22 / $35.22 / $35.22	Professional		$35.22	$35.22	$35.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.94 / $15.63 / $16.41	Professional		$10.94	$15.63	$16.41
United Facility/Professional Professional Modifier Low / Median / High Price $10.49 / $13.52 / $23.94	Professional		$10.49	$13.52	$23.94