Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.19 / $1,289.00 / $5,389.00	Facility		$88.19	$1,289.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.10 / $44.64 / $87.38	Professional		$39.10	$44.64	$87.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $407.66 / $796.80 / $1,116.67	Facility		$407.66	$796.80	$1,116.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.48 / $63.77 / $78.20	Professional		$53.48	$63.77	$78.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.43 / $69.23 / $110.67	Professional		$46.43	$69.23	$110.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $48.03 / $78.59 / $229.52	Professional		$48.03	$78.59	$229.52
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 $51.65 / $56.76 / $62.08	Professional		$51.65	$56.76	$62.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $71.63	Professional		$32.34	$32.34	$71.63
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 $42.68 / $60.31 / $107.64	Professional		$42.68	$60.31	$107.64