Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.58 / $173.65 / $5,091.00	Facility		$42.58	$173.65	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.80 / $66.48 / $207.35	Professional		$28.80	$66.48	$207.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $287.48 / $528.91 / $737.16	Facility		$287.48	$528.91	$737.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.25 / $94.49 / $160.57	Professional		$39.25	$94.49	$160.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.39 / $66.58 / $154.81	Professional		$34.39	$66.58	$154.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $125.50 / $251.37	Professional		$42.13	$125.50	$251.37
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 $40.14 / $42.13 / $129.01	Professional		$40.14	$42.13	$129.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $148.86	Professional		$32.34	$32.34	$148.86
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 $65.97 / $107.70 / $207.86	Professional		$65.97	$107.70	$207.86