Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.78 / $923.00 / $5,430.00	Facility		$76.78	$923.00	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.97 / $67.33 / $122.17	Professional		$41.97	$67.33	$122.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $238.19 / $459.47 / $1,068.86	Facility		$238.19	$459.47	$1,068.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.47 / $91.59 / $140.21	Professional		$63.47	$91.59	$140.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.18 / $87.28 / $141.36	Professional		$54.18	$87.28	$141.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $65.73 / $119.75 / $584.24	Professional		$65.73	$119.75	$584.24
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 $60.49 / $66.47 / $113.24	Professional		$60.49	$66.47	$113.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $130.66	Professional		$32.34	$32.34	$130.66
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 $65.62 / $96.64 / $166.08	Professional		$65.62	$96.64	$166.08