Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.20 / $1,609.00 / $5,549.00	Facility		$37.20	$1,609.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.55 / $26.16 / $36.22	Professional		$23.55	$26.16	$36.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $166.26 / $500.61	Facility		$64.00	$166.26	$500.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.06 / $35.27 / $49.70	Professional		$27.06	$35.27	$49.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $28.04 / $39.54 / $95.45	Professional		$28.04	$39.54	$95.45
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 $29.72 / $31.20 / $33.14	Professional		$29.72	$31.20	$33.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $38.24	Professional		$32.34	$32.34	$38.24
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 $25.61 / $38.75 / $64.20	Professional		$25.61	$38.75	$64.20