Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.33 / $3.33 / $26.79	Facility		$3.33	$3.33	$26.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.33 / $3.33 / $3.54	Professional		$3.33	$3.33	$3.54
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 $6.78 / $6.78 / $6.78	Professional		$6.78	$6.78	$6.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $22.77 / $27.28 / $64.91	Professional		$22.77	$27.28	$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 $9.38 / $14.08 / $24.16	Professional		$9.38	$14.08	$24.16