Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.58 / $1,272.00 / $5,549.00	Facility		$62.58	$1,272.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.15 / $41.36 / $72.56	Professional		$36.15	$41.36	$72.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $282.33 / $603.91 / $1,209.33	Facility		$282.33	$603.91	$1,209.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.11 / $74.15 / $79.94	Professional		$46.11	$74.15	$79.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.04 / $54.36 / $120.00	Professional		$37.04	$54.36	$120.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $45.59 / $68.37 / $226.12	Professional		$45.59	$68.37	$226.12
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 $45.59 / $47.85 / $51.97	Professional		$45.59	$47.85	$51.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $58.77	Professional		$32.34	$32.34	$58.77
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 $40.42 / $56.89 / $117.62	Professional		$40.42	$56.89	$117.62