Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.83 / $341.54 / $3,073.00	Facility		$75.83	$341.54	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.24 / $102.32 / $245.25	Professional		$46.24	$102.32	$245.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.05 / $479.41 / $1,045.66	Facility		$263.05	$479.41	$1,045.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.95 / $117.72 / $188.24	Professional		$61.95	$117.72	$188.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.26 / $96.93 / $179.71	Professional		$58.26	$96.93	$179.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $72.38 / $151.94 / $239.91	Professional		$72.38	$151.94	$239.91
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 $64.58 / $67.20 / $149.76	Professional		$64.58	$67.20	$149.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $169.34	Professional		$32.34	$32.34	$169.34
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 $81.44 / $119.51 / $231.13	Professional		$81.44	$119.51	$231.13