Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.48 / $20.48 / $56.19	Facility		$20.48	$20.48	$56.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.48 / $31.94 / $87.00	Professional		$20.48	$31.94	$87.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.82 / $102.83 / $418.02	Facility		$40.82	$102.83	$418.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.50 / $36.47 / $36.47	Professional		$28.50	$36.47	$36.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.88 / $14.88 / $37.40	Professional		$14.88	$14.88	$37.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $31.00 / $46.32 / $96.78	Professional		$31.00	$46.32	$96.78
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 $47.41 / $47.41 / $47.41	Professional		$47.41	$47.41	$47.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.60 / $51.06 / $54.71	Professional		$49.60	$51.06	$54.71
United Facility/Professional Professional Modifier Low / Median / High Price $12.89 / $18.20 / $31.24	Professional		$12.89	$18.20	$31.24