Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.90 / $22.53 / $34.45	Facility		$14.90	$22.53	$34.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.90 / $14.90 / $15.83	Professional		$14.90	$14.90	$15.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.21 / $88.72 / $261.23	Facility		$36.21	$88.72	$261.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.79 / $16.88 / $22.98	Professional		$11.79	$16.88	$22.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $20.76 / $28.37 / $100.00	Professional		$20.76	$28.37	$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 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $15.58 / $17.30 / $18.37	Professional		$15.58	$17.30	$18.37