Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.11 / $1,129.00 / $5,389.00	Facility		$52.11	$1,129.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.44 / $47.39 / $88.36	Professional		$24.44	$47.39	$88.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.75 / $133.00 / $875.46	Facility		$60.75	$133.00	$875.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.75 / $60.75 / $97.15	Professional		$30.75	$60.75	$97.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.74 / $53.25 / $98.89	Professional		$30.74	$53.25	$98.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $36.27 / $79.95 / $153.46	Professional		$36.27	$79.95	$153.46
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 $32.22 / $33.68 / $76.98	Professional		$32.22	$33.68	$76.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $88.83	Professional		$32.34	$32.34	$88.83
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $1,032.00 / $3,686.00	Facility		$165.00	$1,032.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $45.41 / $67.39 / $118.06	Professional		$45.41	$67.39	$118.06