Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $97.72 / $588.84	Facility		$52.48	$97.72	$588.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $52.48 / $109.65	Professional		$38.90	$52.48	$109.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $691.83 / $1,318.26	Facility		$257.04	$691.83	$1,318.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $85.11 / $93.33	Professional		$64.57	$85.11	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $75.86 / $112.20	Professional		$53.70	$75.86	$112.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $93.33 / $380.19	Professional		$60.26	$93.33	$380.19
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 / $66.07 / $75.86	Professional		$54.95	$66.07	$75.86
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 $151.36 / $851.14 / $2,630.27	Facility		$151.36	$851.14	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $69.18 / $117.49	Professional		$51.29	$69.18	$117.49