Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.17 / $31.55 / $456.93	Facility		$18.17	$31.55	$456.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $27.10 / $528.41	Professional		$17.30	$27.10	$528.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.59 / $231.77 / $337.62	Facility		$104.59	$231.77	$337.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.84 / $63.40 / $459.80	Professional		$16.84	$63.40	$459.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $91.21 / $609.70	Professional		$14.45	$91.21	$609.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $22.20 / $493.95 / $914.56	Professional		$22.20	$493.95	$914.56
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 $21.79 / $22.01 / $528.41	Professional		$21.79	$22.01	$528.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $609.71	Professional		$32.34	$32.34	$609.71
United Facility/Professional Professional Modifier Low / Median / High Price $64.56 / $247.40 / $377.41	Professional		$64.56	$247.40	$377.41