Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.52 / $23.52 / $99.85	Facility		$23.52	$23.52	$99.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.40 / $24.32 / $36.68	Professional		$13.40	$24.32	$36.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.00 / $132.26 / $480.03	Facility		$48.00	$132.26	$480.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.72 / $41.89 / $41.89	Professional		$32.72	$41.89	$41.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.09 / $17.09 / $42.97	Professional		$17.09	$17.09	$42.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $35.61 / $56.56 / $106.86	Professional		$35.61	$56.56	$106.86
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 $54.46 / $54.46 / $54.46	Professional		$54.46	$54.46	$54.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $56.97 / $58.65 / $62.84	Professional		$56.97	$58.65	$62.84
United Facility/Professional Professional Modifier Low / Median / High Price $15.95 / $20.90 / $34.83	Professional		$15.95	$20.90	$34.83