Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.97 / $323.29 / $459.78	Facility		$21.97	$323.29	$459.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.64 / $159.31 / $377.78	Professional		$20.64	$159.31	$377.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.80 / $124.16 / $570.57	Facility		$68.80	$124.16	$570.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.22 / $67.77 / $375.53	Professional		$21.22	$67.77	$375.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.56 / $48.14 / $507.92	Professional		$22.56	$48.14	$507.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $26.69 / $374.52 / $557.71	Professional		$26.69	$374.52	$557.71
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 $24.78 / $26.66 / $431.56	Professional		$24.78	$26.66	$431.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $497.96	Professional		$32.34	$32.34	$497.96
United Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $257.14 / $358.10	Professional		$40.65	$257.14	$358.10