Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.93 / $61.14 / $93.82	Facility		$32.93	$61.14	$93.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.03 / $49.16 / $89.11	Professional		$30.03	$49.16	$89.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.69 / $200.98 / $759.34	Facility		$33.69	$200.98	$759.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.63 / $63.52 / $109.97	Professional		$36.63	$63.52	$109.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.47 / $58.18 / $101.11	Professional		$35.47	$58.18	$101.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $43.88 / $81.20 / $345.40	Professional		$43.88	$81.20	$345.40
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 $36.70 / $39.34 / $74.78	Professional		$36.70	$39.34	$74.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $84.55	Professional		$32.34	$32.34	$84.55
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $891.00 / $3,685.00	Facility		$165.00	$891.00	$3,685.00
United Facility/Professional Professional Modifier Low / Median / High Price $44.18 / $63.67 / $112.45	Professional		$44.18	$63.67	$112.45