Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.64 / $23.40 / $399.85	Facility		$15.64	$23.40	$399.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.17 / $16.70 / $24.38	Professional		$12.17	$16.70	$24.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.60 / $70.31 / $243.98	Facility		$33.60	$70.31	$243.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.30 / $20.88 / $20.88	Professional		$16.30	$20.88	$20.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $14.22 / $16.70	Professional		$14.22	$14.22	$16.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.66 / $32.02 / $67.45	Professional		$23.66	$32.02	$67.45
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 $36.19 / $36.19 / $36.19	Professional		$36.19	$36.19	$36.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $38.97 / $41.76	Professional		$13.25	$38.97	$41.76
United Facility/Professional Professional Modifier Low / Median / High Price $9.84 / $13.89 / $23.84	Professional		$9.84	$13.89	$23.84