Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.68 / $12.68 / $47.13	Facility		$12.68	$12.68	$47.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.68 / $12.68 / $13.94	Professional		$12.68	$12.68	$13.94
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 $22.77 / $22.77 / $22.77	Professional		$22.77	$22.77	$22.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.97 / $11.97 / $11.97	Facility		$11.97	$11.97	$11.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.97 / $11.97 / $11.97	Professional		$11.97	$11.97	$11.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.97 / $35.31 / $125.00	Professional		$23.97	$35.31	$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 $51.46 / $56.42 / $61.75	Professional		$51.46	$56.42	$61.75