Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.97 / $31.97 / $722.20	Facility		$31.97	$31.97	$722.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.01 / $31.97 / $411.36	Professional		$22.01	$31.97	$411.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $170.69 / $365.12 / $731.15	Facility		$170.69	$365.12	$731.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.58 / $49.14 / $53.22	Professional		$35.58	$49.14	$53.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.97 / $27.97 / $27.97	Professional		$27.97	$27.97	$27.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $33.68 / $50.45 / $345.40	Professional		$33.68	$50.45	$345.40
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 $37.86 / $39.04 / $41.70	Professional		$37.86	$39.04	$41.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $48.12	Professional		$32.34	$32.34	$48.12
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 $30.18 / $41.98 / $71.94	Professional		$30.18	$41.98	$71.94