Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.50 / $43.34 / $57.78	Facility		$16.50	$43.34	$57.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.78 / $17.05 / $25.72	Professional		$12.78	$17.05	$25.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.20 / $74.20 / $257.44	Facility		$35.20	$74.20	$257.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.21 / $22.04 / $22.04	Professional		$17.21	$22.04	$22.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.00 / $17.63	Professional		$15.00	$15.00	$17.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $24.97 / $32.32 / $71.19	Professional		$24.97	$32.32	$71.19
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 $38.19 / $38.19 / $38.19	Professional		$38.19	$38.19	$38.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $39.96 / $44.07	Professional		$14.00	$39.96	$44.07
United Facility/Professional Professional Modifier Low / Median / High Price $10.38 / $14.65 / $25.15	Professional		$10.38	$14.65	$25.15