Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.49 / $26.49 / $47.18	Facility		$26.49	$26.49	$47.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.00 / $29.19 / $42.14	Professional		$22.00	$29.19	$42.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.40 / $148.99 / $540.59	Facility		$54.40	$148.99	$540.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.25 / $19.25 / $48.39	Professional		$19.25	$19.25	$48.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $40.10 / $55.26 / $120.36	Professional		$40.10	$55.26	$120.36
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 $61.33 / $61.33 / $61.33	Professional		$61.33	$61.33	$61.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.16 / $66.05 / $70.77	Professional		$64.16	$66.05	$70.77
United Facility/Professional Professional Modifier Low / Median / High Price $17.96 / $23.54 / $41.68	Professional		$17.96	$23.54	$41.68