Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.11 / $10.11 / $52.90	Facility		$10.11	$10.11	$52.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.20 / $10.58 / $18.02	Professional		$7.20	$10.58	$18.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.80 / $56.95 / $206.60	Facility		$20.80	$56.95	$206.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.09 / $18.03 / $18.03	Professional		$14.09	$18.03	$18.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.36 / $7.36 / $18.50	Professional		$7.36	$7.36	$18.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.33 / $25.24 / $72.18	Professional		$15.33	$25.24	$72.18
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 $23.44 / $23.44 / $23.44	Professional		$23.44	$23.44	$23.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.52 / $25.24 / $27.05	Professional		$24.52	$25.24	$27.05
United Facility/Professional Professional Modifier Low / Median / High Price $6.37 / $8.99 / $15.44	Professional		$6.37	$8.99	$15.44