Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.20 / $19.20 / $71.36	Facility		$19.20	$19.20	$71.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.19 / $19.20 / $21.12	Professional		$19.19	$19.20	$21.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,603.60 / $4,622.80 / $8,200.00	Facility		$3,603.60	$4,622.80	$8,200.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.24 / $24.24 / $24.24	Professional		$24.24	$24.24	$24.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.89 / $11.89 / $11.89	Facility		$11.89	$11.89	$11.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.89 / $11.89 / $11.89	Professional		$11.89	$11.89	$11.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.97 / $35.22 / $125.00	Professional		$23.97	$35.22	$125.00
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 $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $25.74 / $28.31 / $30.89	Professional		$25.74	$28.31	$30.89