Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.05 / $15.05 / $26.79	Facility		$15.05	$15.05	$26.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.66 / $15.56 / $23.46	Professional		$11.66	$15.56	$23.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.00 / $67.65 / $234.73	Facility		$32.00	$67.65	$234.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.93 / $12.04 / $12.04	Professional		$10.93	$12.04	$12.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $22.77 / $31.68 / $62.61	Professional		$22.77	$31.68	$62.61
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 $34.83 / $34.83 / $34.83	Professional		$34.83	$34.83	$34.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.43 / $37.51 / $40.19	Professional		$36.43	$37.51	$40.19
United Facility/Professional Professional Modifier Low / Median / High Price $9.47 / $13.37 / $22.95	Professional		$9.47	$13.37	$22.95