Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.71 / $21.71 / $21.71	Facility		$21.71	$21.71	$21.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.71 / $33.72 / $37.72	Professional		$21.71	$33.72	$37.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.61 / $60.40 / $60.40	Professional		$49.61	$60.40	$60.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.01 / $48.89 / $58.58	Professional		$46.01	$48.89	$58.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $38.93 / $56.27 / $99.12	Professional		$38.93	$56.27	$99.12
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 $50.61 / $52.25 / $56.08	Professional		$50.61	$52.25	$56.08
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 $785.00 / $2,873.00 / $7,384.00	Facility		$785.00	$2,873.00	$7,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $28.26 / $41.44 / $65.13	Professional		$28.26	$41.44	$65.13