Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $3,090.30 / $8,511.38	Facility		$41.69	$3,090.30	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $25.70 / $45.71	Professional		$22.91	$25.70	$45.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $165.96 / $501.19	Facility		$64.57	$165.96	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $35.48 / $50.12	Professional		$26.92	$35.48	$50.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $39.81 / $107.15	Professional		$26.92	$39.81	$107.15
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 $29.51 / $30.90 / $33.11	Professional		$29.51	$30.90	$33.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $851.14 / $2,630.27	Facility		$151.36	$851.14	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $33.88 / $54.95	Professional		$25.70	$33.88	$54.95