Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.38 / $6.38 / $50.90	Facility		$6.38	$6.38	$50.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.57 / $7.35 / $11.37	Professional		$5.57	$7.35	$11.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.56 / $32.06 / $130.27	Facility		$12.56	$32.06	$130.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.88 / $11.37 / $11.37	Professional		$8.88	$11.37	$11.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.63 / $4.63 / $11.66	Professional		$4.63	$4.63	$11.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $9.66 / $15.92 / $38.40	Professional		$9.66	$15.92	$38.40
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 $14.78 / $14.78 / $14.78	Professional		$14.78	$14.78	$14.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.46 / $15.92 / $17.05	Professional		$15.46	$15.92	$17.05
United Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $5.67 / $9.44	Professional		$4.01	$5.67	$9.44