Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $1,621.81 / $5,623.41	Facility		$47.86	$1,621.81	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $29.51 / $60.26	Professional		$20.89	$29.51	$60.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $281.84 / $537.03	Facility		$104.71	$281.84	$537.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $38.02 / $56.23	Professional		$29.51	$38.02	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $39.81 / $60.26	Professional		$26.30	$39.81	$60.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $52.48 / $181.97	Professional		$30.90	$52.48	$181.97
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 $28.84 / $31.62 / $44.67	Professional		$28.84	$31.62	$44.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $851.14 / $2,630.27	Facility		$151.36	$851.14	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $38.90 / $67.61	Professional		$25.70	$38.90	$67.61