Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.88 / $81.48 / $520.08	Facility		$39.88	$81.48	$520.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.45 / $39.88 / $81.48	Professional		$36.45	$39.88	$81.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $372.74 / $615.23 / $867.10	Facility		$372.74	$615.23	$867.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.62 / $63.20 / $85.33	Professional		$43.62	$63.20	$85.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $45.69 / $69.79 / $1,533.90	Professional		$45.69	$69.79	$1,533.90
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 $47.92 / $50.40 / $54.00	Professional		$47.92	$50.40	$54.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $56.49 / $62.31	Professional		$40.00	$56.49	$62.31
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $900.00 / $3,686.00	Facility		$165.00	$900.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $42.51 / $58.23 / $109.47	Professional		$42.51	$58.23	$109.47