Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.93 / $78.93 / $428.24	Facility		$26.93	$78.93	$428.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.07 / $40.03 / $75.19	Professional		$26.07	$40.03	$75.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.06 / $175.43 / $549.75	Facility		$74.06	$175.43	$549.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.95 / $41.60 / $58.03	Professional		$24.95	$41.60	$58.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.74 / $41.95 / $80.03	Professional		$23.74	$41.95	$80.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $32.71 / $66.61 / $153.79	Professional		$32.71	$66.61	$153.79
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 $32.61 / $32.71 / $66.69	Professional		$32.61	$32.71	$66.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $76.95	Professional		$32.34	$32.34	$76.95
United Facility/Professional Professional Modifier Low / Median / High Price $34.46 / $46.51 / $66.28	Professional		$34.46	$46.51	$66.28