Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $24.85 / $75.12	Facility		$10.00	$24.85	$75.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.75 / $10.73 / $41.68	Professional		$9.75	$10.73	$41.68
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 $34.54 / $47.88 / $80.33	Professional		$34.54	$47.88	$80.33
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 / $25.28 / $35.18	Professional		$13.89	$25.28	$35.18