Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.49 / $618.32 / $3,636.00	Facility		$49.49	$618.32	$3,636.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.17 / $91.16 / $183.40	Professional		$28.17	$91.16	$183.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $121.70 / $465.02 / $854.66	Facility		$121.70	$465.02	$854.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $93.68 / $162.16	Professional		$34.18	$93.68	$162.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.83 / $66.53 / $191.20	Professional		$36.83	$66.53	$191.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $42.17 / $135.99 / $403.85	Professional		$42.17	$135.99	$403.85
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 $36.13 / $36.83 / $130.94	Professional		$36.13	$36.83	$130.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $151.10	Professional		$32.34	$32.34	$151.10
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 $99.05 / $160.06 / $234.76	Professional		$99.05	$160.06	$234.76