Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.61 / $22.61 / $40.26	Facility		$22.61	$22.61	$40.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.78 / $24.68 / $36.40	Professional		$18.78	$24.68	$36.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $108.90 / $232.96 / $466.50	Facility		$108.90	$232.96	$466.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.44 / $32.44 / $32.44	Professional		$32.44	$32.44	$32.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $34.22 / $56.36 / $97.55	Professional		$34.22	$56.36	$97.55
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 $52.34 / $52.34 / $52.34	Professional		$52.34	$52.34	$52.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.75 / $56.36 / $60.39	Professional		$54.75	$56.36	$60.39
United Facility/Professional Professional Modifier Low / Median / High Price $17.34 / $21.15 / $36.31	Professional		$17.34	$21.15	$36.31