Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $10.68 / $10.68	Facility		$10.68	$10.68	$10.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.43 / $10.68 / $11.99	Professional		$10.43	$10.68	$11.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.20 / $32.15 / $123.97	Facility		$19.20	$32.15	$123.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.48 / $31.48 / $31.48	Facility		$31.48	$31.48	$31.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.87 / $7.87 / $7.87	Professional		$7.87	$7.87	$7.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.48 / $17.64 / $40.32	Professional		$12.48	$17.64	$40.32
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 / $2,500.00	Professional		$30.00	$30.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $12.57 / $12.57 / $14.20	Professional		$12.57	$12.57	$14.20