Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.03 / $28.68 / $42.00	Facility		$17.03	$28.68	$42.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.10 / $24.86 / $41.50	Professional		$16.10	$24.86	$41.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $111.97 / $239.52 / $479.63	Facility		$111.97	$239.52	$479.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.27 / $37.76 / $58.99	Professional		$17.27	$37.76	$58.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.16 / $28.11 / $44.06	Professional		$17.16	$28.11	$44.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.78 / $35.40 / $85.86	Professional		$19.78	$35.40	$85.86
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 $17.75 / $18.42 / $31.17	Professional		$17.75	$18.42	$31.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $35.25	Professional		$32.34	$32.34	$35.25
United Facility/Professional Professional Modifier Low / Median / High Price $22.63 / $33.35 / $57.31	Professional		$22.63	$33.35	$57.31