Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.15 / $1,609.00 / $5,549.00	Facility		$82.15	$1,609.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.94 / $56.82 / $79.76	Professional		$51.94	$56.82	$79.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $139.19 / $306.38 / $1,118.20	Facility		$139.19	$306.38	$1,118.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.91 / $84.91 / $84.91	Professional		$84.91	$84.91	$84.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.55 / $78.11 / $108.31	Professional		$57.55	$78.11	$108.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $63.13 / $88.53 / $189.15	Professional		$63.13	$88.53	$189.15
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 $62.57 / $68.97 / $75.22	Professional		$62.57	$68.97	$75.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $86.79	Professional		$32.34	$32.34	$86.79
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 $58.03 / $78.83 / $128.25	Professional		$58.03	$78.83	$128.25