Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.16 / $1,363.00 / $5,389.00	Facility		$90.16	$1,363.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.33 / $59.76 / $94.56	Professional		$50.33	$59.76	$94.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.36 / $690.24 / $1,505.50	Facility		$177.36	$690.24	$1,505.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.35 / $108.06 / $108.06	Professional		$60.35	$108.06	$108.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.57 / $75.25 / $107.52	Professional		$52.57	$75.25	$107.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $55.19 / $82.88 / $200.00	Professional		$55.19	$82.88	$200.00
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 $52.64 / $61.57 / $68.33	Professional		$52.64	$61.57	$68.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $77.26	Professional		$32.34	$32.34	$77.26
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 $50.16 / $74.70 / $120.68	Professional		$50.16	$74.70	$120.68