Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.11 / $10.11 / $14.46	Facility		$10.11	$10.11	$14.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.51 / $10.28 / $16.52	Professional		$7.51	$10.28	$16.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $117.18 / $1,203.30	Facility		$40.00	$117.18	$1,203.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $90.00 / $90.00	Professional		$90.00	$90.00	$90.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.47 / $13.47 / $18.94	Professional		$13.47	$13.47	$18.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.93 / $48.75 / $150.00	Professional		$19.93	$48.75	$150.00
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 $30.00 / $40.00 / $2,500.00	Professional		$30.00	$40.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $8.84 / $11.02 / $18.53	Professional		$8.84	$11.02	$18.53