Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.86 / $17.86 / $37.49	Facility		$10.86	$17.86	$37.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.44 / $17.86 / $44.18	Professional		$17.44	$17.86	$44.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.56 / $166.81 / $308.83	Facility		$78.56	$166.81	$308.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $18.11 / $22.28	Professional		$18.11	$18.11	$22.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $34.60 / $46.36 / $100.00	Professional		$34.60	$46.36	$100.00
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $2,500.00	Professional		$30.00	$30.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $21.01 / $21.01 / $22.33	Professional		$21.01	$21.01	$22.33