Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.30 / $37.00 / $782.56	Facility		$24.30	$37.00	$782.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $24.30 / $37.65	Professional		$13.25	$24.30	$37.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.80 / $109.32 / $379.30	Facility		$52.80	$109.32	$379.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.55 / $32.45 / $32.45	Professional		$21.55	$32.45	$32.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.09 / $22.09 / $25.98	Professional		$22.09	$22.09	$25.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $36.78 / $45.04 / $104.84	Professional		$36.78	$45.04	$104.84
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 $56.25 / $56.25 / $56.25	Professional		$56.25	$56.25	$56.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.38 / $58.85 / $64.91	Professional		$20.38	$58.85	$64.91
United Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.00 / $16.20	Professional		$15.00	$15.00	$16.20