Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $1,862.09 / $8,511.38	Facility		$81.28	$1,862.09	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $75.86 / $141.25	Professional		$42.66	$75.86	$141.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $436.52 / $977.24	Facility		$239.88	$436.52	$977.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $95.50 / $154.88	Professional		$58.88	$95.50	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $93.33 / $154.88	Professional		$54.95	$93.33	$154.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $125.89 / $309.03	Professional		$67.61	$125.89	$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 $54.95 / $61.66 / $112.20	Professional		$54.95	$61.66	$112.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $724.44 / $2,187.76	Facility		$158.49	$724.44	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $83.18 / $147.91	Professional		$52.48	$83.18	$147.91