Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $1,862.09 / $5,623.41	Facility		$169.82	$1,862.09	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $41.69 / $97.72	Professional		$30.90	$41.69	$97.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $338.84 / $707.95	Facility		$181.97	$338.84	$707.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $58.88 / $64.57	Professional		$40.74	$58.88	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $52.48 / $117.49	Professional		$36.31	$52.48	$117.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $61.66 / $281.84	Professional		$39.81	$61.66	$281.84
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 $40.74 / $43.65 / $46.77	Professional		$40.74	$43.65	$46.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $707.95 / $2,187.76	Facility		$158.49	$707.95	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $46.77 / $79.43	Professional		$35.48	$46.77	$79.43