Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $34.67 / $47.86	Facility		$21.88	$34.67	$47.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $30.20 / $52.48	Professional		$19.05	$30.20	$52.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $309.03 / $602.56	Facility		$114.82	$309.03	$602.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $47.86 / $69.18	Professional		$21.88	$47.86	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $33.11 / $52.48	Professional		$20.89	$33.11	$52.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $43.65 / $85.11	Professional		$23.99	$43.65	$85.11
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 $21.88 / $22.91 / $36.31	Professional		$21.88	$22.91	$36.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Facility		$26.30	$26.30	$26.30
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $30.90 / $56.23	Professional		$20.89	$30.90	$56.23