Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $7.94 / $7.94	Facility		$7.94	$7.94	$7.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $6.03 / $7.94	Professional		$3.98	$6.03	$7.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $302.00 / $398.11	Facility		$213.80	$302.00	$398.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $102.33 / $102.33	Professional		$87.10	$102.33	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Professional		$21.38	$21.38	$21.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $43.65 / $53.70	Professional		$40.74	$43.65	$53.70
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $2,511.89	Professional		$28.18	$28.18	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $5.75 / $10.47	Professional		$3.72	$5.75	$10.47