Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.63 / $54.72 / $356.50	Facility		$19.63	$54.72	$356.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.54 / $32.63 / $59.61	Professional		$19.54	$32.63	$59.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.97 / $129.94 / $335.21	Facility		$68.97	$129.94	$335.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.08 / $34.20 / $58.72	Professional		$23.08	$34.20	$58.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.67 / $36.99 / $66.89	Professional		$22.67	$36.99	$66.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $27.82 / $47.55 / $145.34	Professional		$27.82	$47.55	$145.34
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 $23.40 / $24.86 / $39.70	Professional		$23.40	$24.86	$39.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $45.81	Professional		$32.34	$32.34	$45.81
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $891.00 / $3,592.00	Facility		$165.00	$891.00	$3,592.00
United Facility/Professional Professional Modifier Low / Median / High Price $29.04 / $49.70 / $77.26	Professional		$29.04	$49.70	$77.26