Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.82 / $17.52 / $42.65	Facility		$9.82	$17.52	$42.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.50 / $9.10 / $11.30	Professional		$1.50	$9.10	$11.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.20 / $55.76 / $113.04	Facility		$16.20	$55.76	$113.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $8.00 / $8.00	Professional		$8.00	$8.00	$8.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.75 / $4.69 / $8.52	Professional		$3.75	$4.69	$8.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.16 / $19.01 / $120.00	Professional		$11.16	$19.01	$120.00
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $12.00 / $15.00	Professional		$6.00	$12.00	$15.00
United Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $12.66 / $20.07	Professional		$9.35	$12.66	$20.07