Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.00 / $266.23 / $994.05	Facility		$79.00	$266.23	$994.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $79.00 / $79.00	Professional		$79.00	$79.00	$79.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $374.48 / $667.12 / $2,954.10	Facility		$374.48	$667.12	$2,954.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.00 / $229.00 / $229.00	Professional		$229.00	$229.00	$229.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.01 / $208.01 / $208.01	Facility		$208.01	$208.01	$208.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.82 / $21.28 / $326.10	Professional		$14.82	$21.28	$326.10
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 $17.51 / $17.64 / $19.27	Professional		$17.51	$17.64	$19.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $195.94 / $215.53 / $235.13	Professional		$195.94	$215.53	$235.13