Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.93 / $10.93 / $19.47	Facility		$10.93	$10.93	$19.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $11.66 / $17.57	Professional		$8.75	$11.66	$17.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.00 / $49.19 / $170.68	Facility		$24.00	$49.19	$170.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.69 / $14.60 / $14.60	Professional		$11.69	$14.60	$14.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.26 / $10.26 / $12.06	Professional		$10.26	$10.26	$12.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.55 / $24.14 / $48.68	Professional		$16.55	$24.14	$48.68
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 $25.31 / $25.31 / $26.12	Professional		$25.31	$25.31	$26.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.26 / $26.48 / $28.62	Professional		$9.26	$26.48	$28.62
United Facility/Professional Professional Modifier Low / Median / High Price $7.87 / $9.71 / $17.05	Professional		$7.87	$9.71	$17.05