Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.95 / $16.95 / $16.95	Facility		$16.95	$16.95	$16.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.95 / $26.43 / $33.67	Professional		$16.95	$26.43	$33.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.35 / $35.02 / $45.18	Facility		$29.35	$35.02	$45.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.44 / $33.44 / $40.71	Professional		$33.44	$33.44	$40.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.57 / $37.97 / $40.96	Professional		$32.57	$37.97	$40.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $29.44 / $39.74 / $244.92	Professional		$29.44	$39.74	$244.92
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 $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $20.58	Facility		$20.42	$20.42	$20.58
United Facility/Professional Professional Modifier Low / Median / High Price $23.40 / $34.06 / $81.54	Professional		$23.40	$34.06	$81.54