Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $1,995.26 / $6,606.93	Facility		$87.10	$1,995.26	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $54.95 / $120.23	Professional		$40.74	$54.95	$120.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $4,073.80 / $5,495.41	Facility		$537.03	$4,073.80	$5,495.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $79.43 / $93.33	Professional		$58.88	$79.43	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $70.79 / $120.23	Professional		$47.86	$70.79	$120.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $87.10 / $309.03	Professional		$54.95	$87.10	$309.03
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 $56.23 / $60.26 / $67.61	Professional		$56.23	$60.26	$67.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $3,548.13 / $7,585.78	Facility		$1,288.25	$3,548.13	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $61.66 / $102.33	Professional		$48.98	$61.66	$102.33