Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $95.50 / $95.50	Facility		$45.71	$95.50	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $47.86 / $100.00	Professional		$41.69	$47.86	$100.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $630.96 / $912.01	Facility		$346.74	$630.96	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $72.44 / $100.00	Professional		$50.12	$72.44	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $85.11 / $954.99	Professional		$51.29	$85.11	$954.99
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 $56.23 / $58.88 / $64.57	Professional		$56.23	$58.88	$64.57
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 $45.71 / $63.10 / $104.71	Professional		$45.71	$63.10	$104.71