Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.68 / $18.68 / $20.41	Facility		$18.68	$18.68	$20.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.25 / $18.55 / $22.93	Professional		$15.25	$18.55	$22.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.08 / $71.59 / $210.09	Facility		$45.08	$71.59	$210.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.64 / $19.64 / $30.45	Professional		$19.64	$19.64	$30.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.22 / $26.07 / $92.77	Professional		$18.22	$26.07	$92.77
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 $26.08 / $26.53 / $29.54	Professional		$26.08	$26.53	$29.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.01 / $31.81 / $32.34	Professional		$12.01	$31.81	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $17.27 / $24.58 / $39.58	Professional		$17.27	$24.58	$39.58