Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.05 / $70.08 / $464.14	Facility		$23.05	$70.08	$464.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.86 / $23.83 / $35.93	Professional		$17.86	$23.83	$35.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.60 / $103.68 / $359.72	Facility		$49.60	$103.68	$359.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.05 / $30.78 / $30.78	Professional		$24.05	$30.78	$30.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.95 / $20.95 / $24.59	Professional		$20.95	$20.95	$24.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $34.88 / $53.35 / $99.44	Professional		$34.88	$53.35	$99.44
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $53.35 / $53.35 / $53.35	Professional		$53.35	$53.35	$53.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.55 / $57.46 / $61.56	Professional		$19.55	$57.46	$61.56
United Facility/Professional Professional Modifier Low / Median / High Price $14.50 / $20.47 / $34.11	Professional		$14.50	$20.47	$34.11