Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Facility		$16.98	$16.98	$16.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Professional		$16.98	$16.98	$16.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $72.44 / $85.11	Facility		$64.57	$72.44	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $6.61 / $39.81	Professional		$5.62	$6.61	$39.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $199.53 / $346.74	Professional		$120.23	$199.53	$346.74
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 $30.20 / $30.20 / $2,511.89	Professional		$30.20	$30.20	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $141.25	Facility		$38.90	$38.90	$141.25