Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.04 / $59.40 / $59.40	Facility		$38.04	$59.40	$59.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $39.60 / $59.40	Professional		$34.85	$39.60	$59.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $84.80 / $172.08 / $626.91	Facility		$84.80	$172.08	$626.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.02 / $46.44 / $55.83	Professional		$41.02	$46.44	$55.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.78 / $50.63 / $79.75	Professional		$35.78	$50.63	$79.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $42.54 / $61.77 / $199.75	Professional		$42.54	$61.77	$199.75
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $2,429.96 / $2,429.96 / $2,429.96	Facility		$2,429.96	$2,429.96	$2,429.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $44.10 / $45.21 / $48.09	Professional		$44.10	$45.21	$48.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $54.38	Professional		$32.34	$32.34	$54.38
United Facility/Professional Professional Modifier Low / Median / High Price $37.11 / $50.10 / $82.52	Professional		$37.11	$50.10	$82.52