Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.92 / $18.92 / $33.68	Facility		$18.92	$18.92	$33.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.71 / $20.64 / $29.49	Professional		$15.71	$20.64	$29.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.40 / $105.97 / $386.00	Facility		$38.40	$105.97	$386.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.31 / $33.68 / $41.91	Professional		$26.31	$33.68	$41.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.74 / $13.74 / $34.54	Professional		$13.74	$13.74	$34.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $28.63 / $47.15 / $87.04	Professional		$28.63	$47.15	$87.04
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 $43.78 / $43.78 / $43.78	Professional		$43.78	$43.78	$43.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.80 / $47.15 / $50.52	Professional		$45.80	$47.15	$50.52
United Facility/Professional Professional Modifier Low / Median / High Price $11.90 / $16.80 / $29.75	Professional		$11.90	$16.80	$29.75