Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.65 / $24.65 / $43.90	Facility		$24.65	$24.65	$43.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.47 / $27.16 / $41.78	Professional		$20.47	$27.16	$41.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.20 / $138.61 / $503.03	Facility		$51.20	$138.61	$503.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.29 / $43.90 / $43.90	Professional		$34.29	$43.90	$43.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.91 / $17.91 / $45.03	Professional		$17.91	$17.91	$45.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $37.32 / $50.49 / $111.99	Professional		$37.32	$50.49	$111.99
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 $57.07 / $57.07 / $57.07	Professional		$57.07	$57.07	$57.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.70 / $61.46 / $65.84	Professional		$59.70	$61.46	$65.84
United Facility/Professional Professional Modifier Low / Median / High Price $15.52 / $21.90 / $37.60	Professional		$15.52	$21.90	$37.60