Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $89.13 / $3,090.30	Facility		$43.65	$89.13	$3,090.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $44.67 / $95.50	Professional		$39.81	$44.67	$95.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $630.96 / $912.01	Facility		$346.74	$630.96	$912.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $58.88 / $87.10	Professional		$51.29	$58.88	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $67.61 / $95.50	Professional		$46.77	$67.61	$95.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $79.43 / $2,570.40	Professional		$48.98	$79.43	$2,570.40
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 / $54.95 / $58.88	Professional		$52.48	$54.95	$58.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $758.58 / $2,187.76	Facility		$158.49	$758.58	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $58.88 / $97.72	Professional		$42.66	$58.88	$97.72