Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.70 / $813.00 / $4,634.00	Facility		$32.70	$813.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.09 / $32.86 / $67.27	Professional		$17.09	$32.86	$67.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $88.52 / $189.36 / $379.19	Facility		$88.52	$189.36	$379.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.39 / $34.10 / $54.54	Professional		$19.39	$34.10	$54.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.09 / $35.88 / $58.72	Professional		$19.09	$35.88	$58.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $46.59 / $117.47	Professional		$22.81	$46.59	$117.47
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 $20.02 / $21.18 / $43.16	Professional		$20.02	$21.18	$43.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $49.80	Professional		$32.34	$32.34	$49.80
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 $30.35 / $45.16 / $72.26	Professional		$30.35	$45.16	$72.26