Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.15 / $1,365.00 / $5,389.00	Facility		$87.15	$1,365.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $51.00 / $51.00	Professional		$51.00	$51.00	$51.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $477.53 / $656.87 / $1,185.52	Facility		$477.53	$656.87	$1,185.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.62 / $82.75 / $87.68	Professional		$46.62	$82.75	$87.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.95 / $77.95 / $77.95	Professional		$77.95	$77.95	$77.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $45.78 / $66.45 / $423.37	Professional		$45.78	$66.45	$423.37
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 $46.25 / $49.36 / $54.11	Professional		$46.25	$49.36	$54.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $900.00 / $3,686.00	Facility		$165.00	$900.00	$3,686.00