Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.51 / $12.49 / $15.75	Facility		$11.51	$12.49	$15.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $12.49 / $13.12	Professional		$12.49	$12.49	$13.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.00 / $22.42 / $151.00	Facility		$8.00	$22.42	$151.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.49 / $12.49 / $12.49	Facility		$12.49	$12.49	$12.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $12.49 / $14.73	Professional		$12.49	$12.49	$14.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.62 / $15.86 / $30.57	Professional		$10.62	$15.86	$30.57
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 $16.23 / $16.23 / $16.23	Professional		$16.23	$16.23	$16.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.04 / $30.00 / $30.00	Professional		$17.04	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $12.49 / $13.69	Professional		$12.49	$12.49	$13.69