Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $25.12 / $46.77	Facility		$14.13	$25.12	$46.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.85 / $35.48	Professional		$10.96	$15.85	$35.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $269.15 / $346.74	Facility		$58.88	$269.15	$346.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $23.44 / $28.18	Professional		$14.79	$23.44	$28.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $20.89 / $31.62	Professional		$13.49	$20.89	$31.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $24.55 / $190.55	Professional		$15.49	$24.55	$190.55
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 $13.80 / $15.49 / $20.42	Professional		$13.80	$15.49	$20.42
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 $158.49 / $691.83 / $2,187.76	Facility		$158.49	$691.83	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $19.95 / $34.67	Professional		$13.49	$19.95	$34.67