Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.98 / $268.80 / $835.13	Facility		$74.98	$268.80	$835.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.10 / $12.96 / $20.53	Professional		$9.10	$12.96	$20.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.80 / $97.30 / $271.18	Facility		$28.80	$97.30	$271.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.28 / $15.46 / $21.04	Professional		$14.28	$15.46	$21.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $14.31 / $26.14	Professional		$9.61	$14.31	$26.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $22.72 / $32.31 / $206.82	Professional		$22.72	$32.31	$206.82
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 $25.69 / $26.47 / $30.00	Professional		$25.69	$26.47	$30.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $15.86 / $24.59	Professional		$10.11	$15.86	$24.59