Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.20 / $637.02 / $3,002.00	Facility		$41.20	$637.02	$3,002.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.59 / $33.47 / $70.62	Professional		$11.59	$33.47	$70.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $82.84 / $172.50 / $396.17	Facility		$82.84	$172.50	$396.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.02 / $39.00 / $51.69	Professional		$24.02	$39.00	$51.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.46 / $40.99 / $71.28	Professional		$18.46	$40.99	$71.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $30.45 / $58.39 / $150.35	Professional		$30.45	$58.39	$150.35
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $2,429.96 / $2,429.96 / $2,429.96	Facility		$2,429.96	$2,429.96	$2,429.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $28.56 / $30.45 / $59.40	Professional		$28.56	$30.45	$59.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $68.54	Professional		$32.34	$32.34	$68.54
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $1,032.00 / $3,686.00	Facility		$165.00	$1,032.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $21.92 / $42.87 / $80.90	Professional		$21.92	$42.87	$80.90