Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.99 / $14.99 / $138.00	Facility		$14.99	$14.99	$138.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.22 / $15.50 / $23.78	Professional		$12.22	$15.50	$23.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.40 / $69.30 / $232.49	Facility		$38.40	$69.30	$232.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.60 / $18.89 / $18.89	Professional		$12.60	$18.89	$18.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.09 / $15.09 / $19.02	Professional		$15.09	$15.09	$19.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $21.41 / $35.06 / $88.94	Professional		$21.41	$35.06	$88.94
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 $32.75 / $32.75 / $32.75	Professional		$32.75	$32.75	$32.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.41 / $34.26 / $37.79	Professional		$14.41	$34.26	$37.79
United Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $13.33 / $22.69	Professional		$9.77	$13.33	$22.69