Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.91 / $1,017.00 / $5,091.00	Facility		$75.91	$1,017.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.38 / $75.41 / $124.68	Professional		$42.38	$75.41	$124.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.87 / $510.54 / $1,187.67	Facility		$203.87	$510.54	$1,187.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.87 / $94.49 / $166.61	Professional		$49.87	$94.49	$166.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.34 / $77.92 / $135.49	Professional		$46.34	$77.92	$135.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $56.52 / $110.49 / $273.45	Professional		$56.52	$110.49	$273.45
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 $49.08 / $51.75 / $100.52	Professional		$49.08	$51.75	$100.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $115.98	Professional		$32.34	$32.34	$115.98
United Facility/Professional Facility Modifier Low / Median / High Price $204.00 / $900.00 / $3,606.00	Facility		$204.00	$900.00	$3,606.00
United Facility/Professional Professional Modifier Low / Median / High Price $72.90 / $101.10 / $163.79	Professional		$72.90	$101.10	$163.79