Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.90 / $22.98 / $39.22	Facility		$12.90	$22.98	$39.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.02 / $13.79 / $20.12	Professional		$10.02	$13.79	$20.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.20 / $58.01 / $201.28	Facility		$27.20	$58.01	$201.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.46 / $17.23 / $17.23	Professional		$13.46	$17.23	$17.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.73 / $11.73 / $13.92	Professional		$11.73	$11.73	$13.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.53 / $29.18 / $55.68	Professional		$19.53	$29.18	$55.68
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 $29.87 / $29.87 / $29.87	Professional		$29.87	$29.87	$29.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.94 / $32.17 / $34.47	Professional		$10.94	$32.17	$34.47
United Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $11.46 / $19.10	Professional		$8.11	$11.46	$19.10