Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.52 / $762.00 / $4,432.00	Facility		$27.52	$762.00	$4,432.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.42 / $28.91 / $59.00	Professional		$13.42	$28.91	$59.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.54 / $132.71 / $289.45	Facility		$75.54	$132.71	$289.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.82 / $34.24 / $54.76	Professional		$16.82	$34.24	$54.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.16 / $28.55 / $55.14	Professional		$16.16	$28.55	$55.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.67 / $45.31 / $71.91	Professional		$19.67	$45.31	$71.91
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 $17.10 / $18.27 / $43.63	Professional		$17.10	$18.27	$43.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $50.34	Professional		$32.34	$32.34	$50.34
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 $28.26 / $38.59 / $68.79	Professional		$28.26	$38.59	$68.79