Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.48 / $18.48 / $18.48	Facility		$18.48	$18.48	$18.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.48 / $28.17 / $62.14	Professional		$18.48	$28.17	$62.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.57 / $15.57 / $18.96	Professional		$15.57	$15.57	$18.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.26 / $94.26 / $94.26	Professional		$94.26	$94.26	$94.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $19.63 / $39.21	Professional		$14.22	$19.63	$39.21
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 $17.60 / $17.60 / $17.60	Professional		$17.60	$17.60	$17.60
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 Professional Modifier Low / Median / High Price $66.11 / $89.81 / $144.88	Professional		$66.11	$89.81	$144.88