Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $14.79 / $132.84	Facility		$14.79	$14.79	$132.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.95 / $15.55 / $23.50	Professional		$11.95	$15.55	$23.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.20 / $60.38 / $183.72	Facility		$35.20	$60.38	$183.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.87 / $13.99 / $17.57	Professional		$13.87	$13.99	$17.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $24.40 / $32.17	Professional		$16.20	$24.40	$32.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $37.81 / $56.72 / $84.81	Professional		$37.81	$56.72	$84.81
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 $48.19 / $48.70 / $53.59	Professional		$48.19	$48.70	$53.59
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 Professional Modifier Low / Median / High Price $13.23 / $19.14 / $33.47	Professional		$13.23	$19.14	$33.47