Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $38.11 / $87.48	Facility		$10.00	$38.11	$87.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $25.20 / $43.78	Professional		$10.00	$25.20	$43.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.15 / $63.49 / $180.60	Facility		$24.15	$63.49	$180.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.00 / $15.00	Professional		$15.00	$15.00	$15.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $26.94 / $26.94	Professional		$26.94	$26.94	$26.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $33.56 / $49.35 / $78.95	Professional		$33.56	$49.35	$78.95
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 $41.77 / $42.77 / $46.28	Professional		$41.77	$42.77	$46.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $13.89 / $23.62 / $35.18	Professional		$13.89	$23.62	$35.18