Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.94 / $1,278.00 / $5,549.00	Facility		$71.94	$1,278.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.70 / $44.46 / $87.95	Professional		$32.70	$44.46	$87.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $267.29 / $571.76 / $1,144.94	Facility		$267.29	$571.76	$1,144.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.83 / $70.55 / $78.17	Professional		$53.83	$70.55	$78.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.97 / $64.88 / $91.32	Professional		$46.97	$64.88	$91.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $50.46 / $76.18 / $164.80	Professional		$50.46	$76.18	$164.80
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 $45.85 / $55.02 / $62.48	Professional		$45.85	$55.02	$62.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $72.09	Professional		$32.34	$32.34	$72.09
United Facility/Professional Facility Modifier Low / Median / High Price $578.00 / $2,873.00 / $7,384.00	Facility		$578.00	$2,873.00	$7,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $44.39 / $61.12 / $100.55	Professional		$44.39	$61.12	$100.55