Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $23.99 / $131.83	Facility		$14.13	$23.99	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.85 / $134.90	Professional		$10.96	$15.85	$134.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $58.88 / $181.97	Facility		$35.48	$58.88	$181.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $14.13 / $17.38	Professional		$13.80	$14.13	$17.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $23.99 / $32.36	Professional		$16.22	$23.99	$32.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $57.54 / $89.13	Professional		$38.02	$57.54	$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 $47.86 / $48.98 / $53.70	Professional		$47.86	$48.98	$53.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $8.71 / $8.71	Professional		$8.71	$8.71	$8.71
United Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Facility		$15.14	$15.14	$15.14
United Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $19.05 / $33.11	Professional		$12.59	$19.05	$33.11