Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.40 / $630.00 / $5,405.00	Facility		$73.40	$630.00	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.72 / $70.00 / $197.78	Professional		$31.72	$70.00	$197.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $238.19 / $362.47 / $729.11	Facility		$238.19	$362.47	$729.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.84 / $99.11 / $169.52	Professional		$42.84	$99.11	$169.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.99 / $71.27 / $161.35	Professional		$39.99	$71.27	$161.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $48.15 / $132.50 / $202.01	Professional		$48.15	$132.50	$202.01
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 $44.54 / $46.71 / $135.33	Professional		$44.54	$46.71	$135.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $156.15	Professional		$32.34	$32.34	$156.15
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 $68.43 / $110.66 / $215.61	Professional		$68.43	$110.66	$215.61