Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $38.07	Facility		$21.38	$21.38	$38.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.57 / $22.11 / $33.34	Professional		$16.57	$22.11	$33.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.40 / $96.19 / $333.74	Facility		$46.40	$96.19	$333.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.31 / $22.31 / $28.55	Professional		$22.31	$22.31	$28.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.44 / $19.44 / $22.73	Professional		$19.44	$19.44	$22.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $30.46 / $38.07 / $92.24	Professional		$30.46	$38.07	$92.24
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 $49.49 / $49.49 / $49.49	Professional		$49.49	$49.49	$49.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $53.30 / $57.11	Professional		$18.14	$53.30	$57.11
United Facility/Professional Professional Modifier Low / Median / High Price $12.66 / $19.00 / $32.61	Professional		$12.66	$19.00	$32.61