Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.72 / $165.72 / $5,405.00	Facility		$65.72	$165.72	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.40 / $74.17 / $125.85	Professional		$41.40	$74.17	$125.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.36 / $531.84 / $1,160.01	Facility		$177.36	$531.84	$1,160.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.34 / $91.76 / $164.58	Professional		$48.34	$91.76	$164.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.19 / $76.97 / $133.83	Professional		$45.19	$76.97	$133.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $55.47 / $109.04 / $273.45	Professional		$55.47	$109.04	$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 $47.49 / $50.26 / $99.22	Professional		$47.49	$50.26	$99.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $114.48	Professional		$32.34	$32.34	$114.48
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 $71.81 / $102.68 / $175.62	Professional		$71.81	$102.68	$175.62