Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.75 / $12.75 / $22.70	Facility		$12.75	$12.75	$22.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.92 / $13.18 / $19.88	Professional		$9.92	$13.18	$19.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.20 / $57.34 / $198.96	Facility		$27.20	$57.34	$198.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.30 / $17.03 / $17.03	Professional		$13.30	$17.03	$17.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.59 / $11.59 / $13.45	Professional		$11.59	$11.59	$13.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $24.97 / $55.00	Professional		$19.30	$24.97	$55.00
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 $29.51 / $29.51 / $29.51	Professional		$29.51	$29.51	$29.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.81 / $31.78 / $34.04	Professional		$10.81	$31.78	$34.04
United Facility/Professional Professional Modifier Low / Median / High Price $8.64 / $11.33 / $19.45	Professional		$8.64	$11.33	$19.45