Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.99 / $14.99 / $25.19	Facility		$14.99	$14.99	$25.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.67 / $15.50 / $23.31	Professional		$10.67	$15.50	$23.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.20 / $154.47 / $309.33	Facility		$72.20	$154.47	$309.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.63 / $18.89 / $18.89	Professional		$16.63	$18.89	$18.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.09 / $15.09 / $15.09	Professional		$15.09	$15.09	$15.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $22.48 / $35.27 / $61.04	Professional		$22.48	$35.27	$61.04
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 $12.92 / $34.26 / $37.79	Professional		$12.92	$34.26	$37.79
United Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $13.22 / $22.69	Professional		$10.16	$13.22	$22.69