Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $23.44 / $23.44	Facility		$10.96	$23.44	$23.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.02 / $25.12	Professional		$10.00	$12.02	$25.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $549.54 / $758.58	Facility		$123.03	$549.54	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $18.20 / $41.69	Professional		$12.59	$18.20	$41.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $20.89 / $89.13	Professional		$12.88	$20.89	$89.13
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 $14.13 / $14.79 / $15.85	Professional		$14.13	$14.79	$15.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $758.58 / $2,187.76	Facility		$158.49	$758.58	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $16.22 / $26.30	Professional		$11.48	$16.22	$26.30