Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.83 / $56.36 / $83.08	Facility		$25.83	$56.36	$83.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.76 / $49.67 / $81.58	Professional		$23.76	$49.67	$81.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.73 / $277.51 / $605.29	Facility		$81.73	$277.51	$605.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.85 / $59.50 / $104.00	Professional		$30.85	$59.50	$104.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.21 / $58.96 / $96.72	Professional		$31.21	$58.96	$96.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $36.64 / $80.08 / $196.24	Professional		$36.64	$80.08	$196.24
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 $29.64 / $32.38 / $75.30	Professional		$29.64	$32.38	$75.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $86.88	Professional		$32.34	$32.34	$86.88
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 $50.31 / $74.98 / $135.99	Professional		$50.31	$74.98	$135.99