Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.53 / $23.64 / $25.57	Facility		$11.53	$23.64	$25.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.60 / $11.53 / $23.64	Professional		$10.60	$11.53	$23.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.80 / $247.27 / $742.83	Facility		$107.80	$247.27	$742.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.71 / $18.51 / $81.18	Professional		$12.71	$18.51	$81.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.31 / $20.36 / $89.50	Professional		$13.31	$20.36	$89.50
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 $13.99 / $14.70 / $15.73	Professional		$13.99	$14.70	$15.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.83 / $17.79 / $40.00	Professional		$15.83	$17.79	$40.00
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $900.00 / $3,686.00	Facility		$165.00	$900.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $12.10 / $17.52 / $28.82	Professional		$12.10	$17.52	$28.82