Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.89 / $17.89 / $31.86	Facility		$17.89	$17.89	$31.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.86 / $18.50 / $28.45	Professional		$13.86	$18.50	$28.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.40 / $80.47 / $279.20	Facility		$38.40	$80.47	$279.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.67 / $23.90 / $23.90	Professional		$18.67	$23.90	$23.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.27 / $16.27 / $19.02	Professional		$16.27	$16.27	$19.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $27.08 / $35.74 / $77.20	Professional		$27.08	$35.74	$77.20
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 $41.42 / $41.42 / $41.42	Professional		$41.42	$41.42	$41.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.17 / $44.60 / $47.79	Professional		$15.17	$44.60	$47.79
United Facility/Professional Professional Modifier Low / Median / High Price $11.26 / $15.89 / $26.49	Professional		$11.26	$15.89	$26.49