Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.80 / $222.48 / $3,636.00	Facility		$68.80	$222.48	$3,636.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.38 / $62.57 / $113.64	Professional		$41.38	$62.57	$113.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $422.63 / $569.87 / $983.18	Facility		$422.63	$569.87	$983.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.69 / $74.09 / $106.99	Professional		$47.69	$74.09	$106.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.54 / $71.09 / $158.34	Professional		$43.54	$71.09	$158.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $46.17 / $87.78 / $299.70	Professional		$46.17	$87.78	$299.70
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 $48.27 / $50.99 / $80.73	Professional		$48.27	$50.99	$80.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $93.15	Professional		$32.34	$32.34	$93.15
United Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $963.00 / $3,686.00	Facility		$150.00	$963.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $55.52 / $73.62 / $155.40	Professional		$55.52	$73.62	$155.40