Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.52 / $11.52 / $56.19	Facility		$11.52	$11.52	$56.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.06 / $14.29 / $20.50	Professional		$10.06	$14.29	$20.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.00 / $57.97 / $235.02	Facility		$24.00	$57.97	$235.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.02 / $20.51 / $20.51	Professional		$16.02	$20.51	$20.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.36 / $8.36 / $21.04	Professional		$8.36	$8.36	$21.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.43 / $26.66 / $55.52	Professional		$17.43	$26.66	$55.52
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 $26.66 / $26.66 / $26.66	Professional		$26.66	$26.66	$26.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.89 / $28.71 / $30.77	Professional		$27.89	$28.71	$30.77
United Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $10.24 / $17.05	Professional		$7.25	$10.24	$17.05