Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.52 / $89.38 / $1,493.51	Facility		$44.52	$89.38	$1,493.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.51 / $44.52 / $89.38	Professional		$40.51	$44.52	$89.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.10 / $624.35 / $967.99	Facility		$416.10	$624.35	$967.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.81 / $65.34 / $114.04	Professional		$47.81	$65.34	$114.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.08 / $69.48 / $93.20	Professional		$48.08	$69.48	$93.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $50.37 / $76.84 / $2,392.31	Professional		$50.37	$76.84	$2,392.31
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 $52.62 / $55.50 / $59.53	Professional		$52.62	$55.50	$59.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $62.27 / $68.69	Professional		$40.00	$62.27	$68.69
United Facility/Professional Facility Modifier Low / Median / High Price $204.00 / $973.01 / $3,685.00	Facility		$204.00	$973.01	$3,685.00
United Facility/Professional Professional Modifier Low / Median / High Price $44.87 / $66.33 / $105.64	Professional		$44.87	$66.33	$105.64