Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.52 / $23.85 / $23.85	Facility		$13.52	$23.85	$23.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.66 / $17.79 / $25.34	Professional		$10.66	$17.79	$25.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $130.68 / $349.36 / $676.72	Facility		$130.68	$349.36	$676.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.52 / $14.43 / $14.85	Professional		$13.52	$14.43	$14.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.80 / $12.80 / $20.87	Professional		$12.80	$12.80	$20.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.49 / $14.43 / $40.19	Professional		$11.49	$14.43	$40.19
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 $17.47 / $17.57 / $18.76	Professional		$17.47	$17.57	$18.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.91 / $21.21 / $30.00	Professional		$13.91	$21.21	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $13.55 / $22.56 / $46.35	Professional		$13.55	$22.56	$46.35