Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.20 / $13.20 / $23.50	Facility		$13.20	$13.20	$23.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.22 / $13.65 / $20.58	Professional		$10.22	$13.65	$20.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.18 / $50.94 / $205.90	Facility		$27.18	$50.94	$205.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.77 / $17.63 / $17.63	Professional		$13.77	$17.63	$17.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $12.00 / $13.92	Professional		$12.00	$12.00	$13.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $26.63 / $56.94	Professional		$19.98	$26.63	$56.94
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 $30.55 / $30.55 / $30.55	Professional		$30.55	$30.55	$30.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.20 / $32.90 / $35.25	Professional		$11.20	$32.90	$35.25
United Facility/Professional Professional Modifier Low / Median / High Price $8.31 / $11.72 / $20.13	Professional		$8.31	$11.72	$20.13