Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.01 / $22.01 / $193.00	Facility		$9.01	$22.01	$193.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.07 / $10.48 / $14.40	Professional		$8.07	$10.48	$14.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.34 / $55.66 / $93.61	Facility		$29.34	$55.66	$93.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.77 / $18.82 / $94.55	Professional		$8.77	$18.82	$94.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $9.67 / $14.15 / $24.68	Professional		$9.67	$14.15	$24.68
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $2,429.96 / $2,429.96 / $2,429.96	Facility		$2,429.96	$2,429.96	$2,429.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.57 / $12.83 / $13.62	Professional		$12.57	$12.83	$13.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $2,500.00	Professional		$30.00	$30.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $11.50 / $20.00 / $32.65	Professional		$11.50	$20.00	$32.65