Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.52 / $70.79 / $220.00	Facility		$39.52	$70.79	$220.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.84 / $33.10 / $54.56	Professional		$15.84	$33.10	$54.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.75 / $96.80 / $534.99	Facility		$59.75	$96.80	$534.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.84 / $47.81 / $53.23	Professional		$42.84	$47.81	$53.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $70.00 / $85.00	Facility		$60.00	$70.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.22 / $63.52 / $108.29	Professional		$29.22	$63.52	$108.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $43.99 / $64.56 / $117.63	Professional		$43.99	$64.56	$117.63
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 $56.50 / $57.79 / $61.17	Professional		$56.50	$57.79	$61.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $69.16	Professional		$32.34	$32.34	$69.16
United Facility/Professional Professional Modifier Low / Median / High Price $29.96 / $42.95 / $63.81	Professional		$29.96	$42.95	$63.81