Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.21 / $11.88 / $23.63	Facility		$11.21	$11.88	$23.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $11.88 / $12.48	Professional		$11.88	$11.88	$12.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.00 / $22.71 / $157.57	Facility		$8.00	$22.71	$157.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.60 / $13.60 / $15.09	Professional		$13.60	$13.60	$15.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.88 / $11.88 / $11.88	Facility		$11.88	$11.88	$11.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $11.88 / $13.50	Professional		$11.88	$11.88	$13.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.10 / $15.09 / $49.21	Professional		$10.10	$15.09	$49.21
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 $15.44 / $15.44 / $15.44	Professional		$15.44	$15.44	$15.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.01 / $16.80 / $18.02	Professional		$12.01	$16.80	$18.02
United Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $11.88 / $12.36	Professional		$11.88	$11.88	$12.36