Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.53 / $140.00 / $363.20	Facility		$39.53	$140.00	$363.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.08 / $38.11 / $73.43	Professional		$24.08	$38.11	$73.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.14 / $162.26 / $337.62	Facility		$69.14	$162.26	$337.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.08 / $34.92 / $48.70	Professional		$23.08	$34.92	$48.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.92 / $37.78 / $71.67	Professional		$21.92	$37.78	$71.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $30.24 / $57.90 / $132.84	Professional		$30.24	$57.90	$132.84
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 $30.11 / $30.23 / $55.97	Professional		$30.11	$30.23	$55.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $64.58	Professional		$32.34	$32.34	$64.58
United Facility/Professional Professional Modifier Low / Median / High Price $32.26 / $39.54 / $48.26	Professional		$32.26	$39.54	$48.26