Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.71 / $94.67 / $836.97	Facility		$46.71	$94.67	$836.97
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 / $70.48 / $93.30	Professional		$55.32	$70.48	$93.30
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 / $977.93	Professional		$54.33	$82.42	$977.93
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 $165.00 / $900.00 / $3,686.00	Facility		$165.00	$900.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $47.60 / $68.65 / $111.95	Professional		$47.60	$68.65	$111.95