Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.67 / $11.67 / $189.18	Facility		$11.67	$11.67	$189.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.49 / $11.67 / $18.95	Professional		$9.49	$11.67	$18.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.37 / $90.64 / $181.50	Facility		$42.37	$90.64	$181.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.68 / $11.78 / $14.77	Professional		$11.68	$11.78	$14.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.99 / $19.25 / $25.89	Professional		$12.99	$19.25	$25.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $30.92 / $43.85 / $75.88	Professional		$30.92	$43.85	$75.88
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 $36.54 / $36.56 / $40.72	Professional		$36.54	$36.56	$40.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.82 / $6.82 / $6.82	Professional		$6.82	$6.82	$6.82
United Facility/Professional Professional Modifier Low / Median / High Price $10.70 / $15.40 / $27.85	Professional		$10.70	$15.40	$27.85