Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.40 / $166.51 / $2,722.00	Facility		$40.40	$166.51	$2,722.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.53 / $39.00 / $81.75	Professional		$22.53	$39.00	$81.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.73 / $209.51 / $456.98	Facility		$81.73	$209.51	$456.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.45 / $47.01 / $75.18	Professional		$27.45	$47.01	$75.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.95 / $44.71 / $75.52	Professional		$26.95	$44.71	$75.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $32.33 / $62.96 / $98.86	Professional		$32.33	$62.96	$98.86
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 $28.50 / $30.02 / $59.38	Professional		$28.50	$30.02	$59.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $68.52	Professional		$32.34	$32.34	$68.52
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 $39.58 / $55.26 / $95.72	Professional		$39.58	$55.26	$95.72