Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.75 / $64.37 / $64.88	Facility		$41.75	$64.37	$64.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.43 / $42.09 / $57.77	Professional		$37.43	$42.09	$57.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.80 / $188.89 / $687.07	Facility		$92.80	$188.89	$687.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.01 / $61.40 / $77.34	Professional		$45.01	$61.40	$77.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.69 / $57.13 / $83.46	Professional		$39.69	$57.13	$83.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $46.71 / $63.43 / $235.11	Professional		$46.71	$63.43	$235.11
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 $48.67 / $49.74 / $53.20	Professional		$48.67	$49.74	$53.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $60.15	Professional		$32.34	$32.34	$60.15
United Facility/Professional Professional Modifier Low / Median / High Price $40.45 / $54.20 / $91.18	Professional		$40.45	$54.20	$91.18