Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Facility		$23.99	$23.99	$23.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.98 / $33.88	Professional		$14.13	$16.98	$33.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $57.54 / $89.13	Facility		$48.98	$57.54	$89.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $19.05 / $25.70	Professional		$18.62	$19.05	$25.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $21.38 / $34.67	Professional		$15.85	$21.38	$34.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $67.61 / $89.13	Professional		$19.05	$67.61	$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 $20.42 / $21.38 / $22.39	Professional		$20.42	$21.38	$22.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $32.36 / $33.11	Professional		$27.54	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $19.05 / $29.51	Professional		$14.45	$19.05	$29.51