Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.17 / $988.00 / $5,091.00	Facility		$92.17	$988.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.55 / $62.61 / $102.82	Professional		$50.55	$62.61	$102.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $310.08 / $663.28 / $1,328.21	Facility		$310.08	$663.28	$1,328.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.78 / $83.31 / $102.44	Professional		$58.78	$83.31	$102.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.36 / $78.70 / $147.94	Professional		$51.36	$78.70	$147.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $64.64 / $94.02 / $393.91	Professional		$64.64	$94.02	$393.91
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 $61.84 / $63.21 / $76.39	Professional		$61.84	$63.21	$76.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $86.38	Professional		$32.34	$32.34	$86.38
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 $60.96 / $86.40 / $168.84	Professional		$60.96	$86.40	$168.84