Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.20 / $54.53 / $309.60	Facility		$20.20	$54.53	$309.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.84 / $28.94 / $71.72	Professional		$16.84	$28.94	$71.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.62 / $192.27 / $390.07	Facility		$102.62	$192.27	$390.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.78 / $32.75 / $57.14	Professional		$19.78	$32.75	$57.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.30 / $38.57 / $73.17	Professional		$20.30	$38.57	$73.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $24.51 / $46.91 / $126.39	Professional		$24.51	$46.91	$126.39
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 $21.78 / $21.97 / $38.01	Professional		$21.78	$21.97	$38.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $43.86	Professional		$32.34	$32.34	$43.86
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 $28.58 / $52.12 / $81.72	Professional		$28.58	$52.12	$81.72