Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.58 / $778.40 / $2,414.00	Facility		$62.58	$778.40	$2,414.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.42 / $55.20 / $121.40	Professional		$43.42	$55.20	$121.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $254.95 / $545.36 / $1,092.08	Facility		$254.95	$545.36	$1,092.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.88 / $81.72 / $102.93	Professional		$57.88	$81.72	$102.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.49 / $80.50 / $118.30	Professional		$57.49	$80.50	$118.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $63.35 / $95.08 / $308.94	Professional		$63.35	$95.08	$308.94
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 $58.73 / $62.43 / $80.94	Professional		$58.73	$62.43	$80.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $93.39	Professional		$32.34	$32.34	$93.39
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $900.00 / $3,686.00	Facility		$165.00	$900.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $61.35 / $83.80 / $131.84	Professional		$61.35	$83.80	$131.84