Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.80 / $654.00 / $3,270.00	Facility		$25.80	$654.00	$3,270.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.22 / $23.79 / $49.19	Professional		$18.22	$23.79	$49.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.86 / $224.32 / $449.20	Facility		$104.86	$224.32	$449.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.81 / $30.11 / $44.44	Professional		$23.81	$30.11	$44.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.44 / $35.99 / $55.89	Professional		$24.44	$35.99	$55.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $27.47 / $40.94 / $142.72	Professional		$27.47	$40.94	$142.72
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 $24.26 / $25.74 / $34.94	Professional		$24.26	$25.74	$34.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $40.32	Professional		$32.34	$32.34	$40.32
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $900.00 / $3,686.00	Facility		$165.00	$900.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $26.90 / $38.45 / $70.28	Professional		$26.90	$38.45	$70.28