Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.26 / $13.26 / $23.61	Facility		$13.26	$13.26	$23.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.02 / $14.61 / $22.33	Professional		$11.02	$14.61	$22.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.20 / $74.55 / $270.64	Facility		$27.20	$74.55	$270.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.63 / $9.63 / $24.23	Professional		$9.63	$9.63	$24.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $20.07 / $29.51 / $60.23	Professional		$20.07	$29.51	$60.23
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 $30.69 / $30.69 / $30.69	Professional		$30.69	$30.69	$30.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.11 / $33.04 / $35.42	Professional		$32.11	$33.04	$35.42
United Facility/Professional Professional Modifier Low / Median / High Price $8.99 / $11.78 / $19.64	Professional		$8.99	$11.78	$19.64