Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.96 / $9.96 / $9.96	Facility		$9.96	$9.96	$9.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.76 / $9.96 / $16.48	Professional		$8.76	$9.96	$16.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.85 / $40.35 / $173.16	Facility		$23.85	$40.35	$173.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.23 / $11.23 / $22.06	Facility		$11.23	$11.23	$22.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $11.23 / $23.25	Professional		$9.55	$11.23	$23.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $20.13 / $33.65 / $41.19	Professional		$20.13	$33.65	$41.19
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 $26.17 / $26.17 / $26.17	Professional		$26.17	$26.17	$26.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.68 / $13.84 / $14.53	Professional		$9.68	$13.84	$14.53
United Facility/Professional Professional Modifier Low / Median / High Price $7.66 / $10.03 / $17.64	Professional		$7.66	$10.03	$17.64