Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.66 / $18.66 / $33.22	Facility		$18.66	$18.66	$33.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.46 / $19.29 / $29.10	Professional		$14.46	$19.29	$29.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $83.92 / $291.17	Facility		$40.00	$83.92	$291.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.47 / $24.92 / $24.92	Professional		$19.47	$24.92	$24.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.56 / $18.01 / $18.01	Professional		$13.56	$18.01	$18.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $28.25 / $36.54 / $80.52	Professional		$28.25	$36.54	$80.52
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 $43.20 / $43.20 / $43.20	Professional		$43.20	$43.20	$43.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.82 / $46.52 / $49.85	Professional		$15.82	$46.52	$49.85
United Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $16.57 / $28.46	Professional		$11.75	$16.57	$28.46