Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.44 / $86.43 / $169.39	Facility		$55.44	$86.43	$169.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.70 / $50.25 / $70.00	Professional		$38.70	$50.25	$70.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.90 / $128.91 / $749.24	Facility		$75.90	$128.91	$749.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $69.78 / $74.76	Professional		$63.10	$69.78	$74.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $70.00 / $90.00	Facility		$60.00	$70.00	$90.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $60.77 / $106.74	Professional		$40.11	$60.77	$106.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $64.80 / $97.04 / $155.94	Professional		$64.80	$97.04	$155.94
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 $84.10 / $85.32 / $90.10	Professional		$84.10	$85.32	$90.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $97.03	Professional		$32.34	$32.34	$97.03
United Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $53.33 / $82.56	Professional		$47.97	$53.33	$82.56