Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.94 / $23.94 / $42.64	Facility		$23.94	$23.94	$42.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.88 / $26.35 / $40.32	Professional		$19.88	$26.35	$40.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.60 / $134.61 / $488.58	Facility		$49.60	$134.61	$488.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.31 / $42.64 / $42.64	Professional		$33.31	$42.64	$42.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.39 / $17.39 / $43.73	Professional		$17.39	$17.39	$43.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $36.24 / $55.43 / $108.77	Professional		$36.24	$55.43	$108.77
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 $55.43 / $55.43 / $55.43	Professional		$55.43	$55.43	$55.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.99 / $59.70 / $63.96	Professional		$57.99	$59.70	$63.96
United Facility/Professional Professional Modifier Low / Median / High Price $15.07 / $21.27 / $36.51	Professional		$15.07	$21.27	$36.51