Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.49 / $973.00 / $5,091.00	Facility		$56.49	$973.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.60 / $64.06 / $134.82	Professional		$25.60	$64.06	$134.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.98 / $301.32 / $543.82	Facility		$177.98	$301.32	$543.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.20 / $84.71 / $144.96	Professional		$32.20	$84.71	$144.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $60.39 / $136.13	Professional		$32.36	$60.39	$136.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $38.14 / $112.98 / $155.69	Professional		$38.14	$112.98	$155.69
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 $33.93 / $35.40 / $115.66	Professional		$33.93	$35.40	$115.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $133.46	Professional		$32.34	$32.34	$133.46
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 $62.53 / $92.78 / $168.80	Professional		$62.53	$92.78	$168.80