Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.71 / $94.67 / $101.41	Facility		$46.71	$94.67	$101.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.59 / $46.71 / $94.67	Professional		$42.59	$46.71	$94.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $436.62 / $624.35 / $1,015.71	Facility		$436.62	$624.35	$1,015.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.32 / $64.20 / $70.48	Professional		$55.32	$64.20	$70.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.86 / $74.08 / $98.85	Professional		$51.86	$74.08	$98.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $54.33 / $82.42 / $876.51	Professional		$54.33	$82.42	$876.51
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 $55.81 / $59.53 / $64.20	Professional		$55.81	$59.53	$64.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $67.17 / $74.09	Professional		$40.00	$67.17	$74.09
United Facility/Professional Facility Modifier Low / Median / High Price $204.00 / $770.00 / $3,685.00	Facility		$204.00	$770.00	$3,685.00
United Facility/Professional Professional Modifier Low / Median / High Price $44.61 / $66.70 / $126.16	Professional		$44.61	$66.70	$126.16