Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.00 / $30.67 / $65.73	Facility		$3.00	$30.67	$65.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $3.69 / $28.59	Professional		$3.00	$3.69	$28.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.15 / $69.80 / $180.60	Facility		$24.15	$69.80	$180.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.00 / $15.00	Professional		$15.00	$15.00	$15.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.39 / $16.78 / $35.82	Professional		$15.39	$16.78	$35.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $24.20 / $41.95	Professional		$16.93	$24.20	$41.95
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 $20.01 / $20.16 / $21.81	Professional		$20.01	$20.16	$21.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $12.56 / $16.64 / $31.93	Professional		$12.56	$16.64	$31.93