Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.98 / $36.56 / $63.54	Facility		$18.98	$36.56	$63.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.93 / $30.55 / $58.86	Professional		$17.93	$30.55	$58.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.00 / $174.48 / $373.11	Facility		$93.00	$174.48	$373.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.61 / $33.10 / $57.16	Professional		$21.61	$33.10	$57.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $37.83 / $65.59	Professional		$21.70	$37.83	$65.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $26.23 / $46.47 / $127.98	Professional		$26.23	$46.47	$127.98
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 $22.45 / $23.52 / $38.42	Professional		$22.45	$23.52	$38.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $44.33	Professional		$32.34	$32.34	$44.33
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 $27.85 / $50.83 / $78.12	Professional		$27.85	$50.83	$78.12