Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $1,862.09 / $5,888.44	Facility		$91.20	$1,862.09	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $58.88 / $128.82	Professional		$48.98	$58.88	$128.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $229.09 / $1,412.54	Facility		$169.82	$229.09	$1,412.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $107.15	Professional		$60.26	$60.26	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $74.13 / $107.15	Professional		$52.48	$74.13	$107.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $83.18 / $213.80	Professional		$54.95	$83.18	$213.80
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 $52.48 / $61.66 / $67.61	Professional		$52.48	$61.66	$67.61
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 $107.15 / $691.83 / $2,187.76	Facility		$107.15	$691.83	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $70.79 / $109.65	Professional		$50.12	$70.79	$109.65