Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.57 / $33.57 / $55.54	Facility		$16.57	$33.57	$55.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.57 / $16.57 / $17.61	Professional		$16.57	$16.57	$17.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.20 / $61.38 / $258.27	Facility		$35.20	$61.38	$258.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.63 / $46.63 / $46.63	Facility		$46.63	$46.63	$46.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $21.65 / $51.15 / $345.40	Professional		$21.65	$51.15	$345.40
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 $3.58 / $3.58 / $3.58	Professional		$3.58	$3.58	$3.58
United Facility/Professional Professional Modifier Low / Median / High Price $20.72 / $20.72 / $21.34	Professional		$20.72	$20.72	$21.34