Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.57 / $89.89 / $124.88	Facility		$48.57	$89.89	$124.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.70 / $70.80 / $112.70	Professional		$42.70	$70.80	$112.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $241.15 / $489.35 / $1,138.36	Facility		$241.15	$489.35	$1,138.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.73 / $93.20 / $145.94	Professional		$58.73	$93.20	$145.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.25 / $90.53 / $136.02	Professional		$54.25	$90.53	$136.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $65.95 / $117.54 / $252.85	Professional		$65.95	$117.54	$252.85
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 $54.57 / $60.98 / $105.89	Professional		$54.57	$60.98	$105.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $122.18	Professional		$32.34	$32.34	$122.18
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 $66.95 / $100.98 / $180.64	Professional		$66.95	$100.98	$180.64