Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $1,862.09 / $7,762.47	Facility		$144.54	$1,862.09	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $61.66 / $120.23	Professional		$26.92	$61.66	$120.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $338.84 / $645.65	Facility		$125.89	$338.84	$645.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $67.61 / $114.82	Professional		$35.48	$67.61	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $70.79 / $125.89	Professional		$33.11	$70.79	$125.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $102.33 / $269.15	Professional		$39.81	$102.33	$269.15
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 $36.31 / $38.02 / $93.33	Professional		$36.31	$38.02	$93.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $851.14 / $2,630.27	Facility		$151.36	$851.14	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $66.07 / $125.89	Professional		$33.11	$66.07	$125.89