Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.18 / $29.06 / $31.44	Facility		$18.18	$29.06	$31.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.61 / $19.34 / $34.43	Professional		$16.61	$19.34	$34.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.52 / $117.84 / $641.63	Facility		$44.52	$117.84	$641.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.59 / $31.10 / $37.24	Professional		$19.59	$31.10	$37.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.95 / $25.96 / $48.00	Professional		$12.95	$25.96	$48.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.87 / $25.81 / $123.57	Professional		$16.87	$25.81	$123.57
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 $21.75 / $21.93 / $22.96	Professional		$21.75	$21.93	$22.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.72 / $32.34 / $32.34	Professional		$21.72	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $16.78 / $22.71 / $39.26	Professional		$16.78	$22.71	$39.26