Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.12 / $4.12 / $26.79	Facility		$4.12	$4.12	$26.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.12 / $4.12 / $4.38	Professional		$4.12	$4.12	$4.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.99 / $47.96 / $242.48	Facility		$27.99	$47.96	$242.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.09 / $20.09 / $20.36	Professional		$20.09	$20.09	$20.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.56 / $13.56 / $13.56	Professional		$13.56	$13.56	$13.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.90 / $26.79 / $64.91	Professional		$11.90	$26.79	$64.91
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 $34.83 / $34.83 / $34.83	Professional		$34.83	$34.83	$34.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.43 / $37.51 / $40.19	Professional		$36.43	$37.51	$40.19
United Facility/Professional Professional Modifier Low / Median / High Price $9.97 / $14.08 / $23.46	Professional		$9.97	$14.08	$23.46