Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.02 / $14.02 / $24.98	Facility		$14.02	$14.02	$24.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.65 / $15.31 / $21.87	Professional		$11.65	$15.31	$21.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.80 / $78.87 / $286.19	Facility		$28.80	$78.87	$286.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.51 / $24.98 / $24.98	Professional		$19.51	$24.98	$24.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $10.19 / $25.62	Professional		$10.19	$10.19	$25.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $21.23 / $32.32 / $63.72	Professional		$21.23	$32.32	$63.72
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 $32.47 / $32.47 / $32.47	Professional		$32.47	$32.47	$32.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.97 / $34.97 / $37.47	Professional		$33.97	$34.97	$37.47
United Facility/Professional Professional Modifier Low / Median / High Price $8.83 / $12.46 / $21.39	Professional		$8.83	$12.46	$21.39