Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.20 / $2,989.00 / $7,407.00	Facility		$75.20	$2,989.00	$7,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.59 / $68.75 / $116.86	Professional		$62.59	$68.75	$116.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $633.54 / $874.19 / $1,473.84	Facility		$633.54	$874.19	$1,473.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.40 / $104.21 / $125.67	Professional		$87.40	$104.21	$125.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.74 / $99.99 / $152.93	Professional		$56.74	$99.99	$152.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $30.26 / $47.27 / $301.82	Professional		$30.26	$47.27	$301.82
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 $35.11 / $35.76 / $38.35	Professional		$35.11	$35.76	$38.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.92 / $40.00 / $2,500.00	Professional		$38.92	$40.00	$2,500.00
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 $69.40 / $97.16 / $169.45	Professional		$69.40	$97.16	$169.45