Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.53 / $973.00 / $5,091.00	Facility		$90.53	$973.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.96 / $132.11 / $276.95	Professional		$40.96	$132.11	$276.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $268.64 / $574.64 / $1,150.71	Facility		$268.64	$574.64	$1,150.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.98 / $150.97 / $390.38	Professional		$50.98	$150.97	$390.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.96 / $156.07 / $358.93	Professional		$46.96	$156.07	$358.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $297.55 / $489.37	Professional		$61.44	$297.55	$489.37
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 $52.74 / $55.00 / $268.66	Professional		$52.74	$55.00	$268.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $303.79	Professional		$32.34	$32.34	$303.79
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 $168.83 / $253.01 / $433.81	Professional		$168.83	$253.01	$433.81