Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $34.67 / $870.96	Facility		$31.62	$34.67	$870.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $645.65 / $870.96	Professional		$28.18	$645.65	$870.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,819.70 / $2,290.87	Facility		$1,548.82	$1,819.70	$2,290.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $537.03 / $851.14	Professional		$33.88	$537.03	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Professional		$758.58	$758.58	$758.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $933.25 / $1,258.93	Professional		$36.31	$933.25	$1,258.93
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 $41.69 / $43.65 / $1,096.48	Professional		$41.69	$43.65	$1,096.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,202.26	Professional		$32.36	$33.11	$1,202.26
United Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $2,754.23 / $3,548.13	Facility		$33.88	$2,754.23	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $537.03 / $1,148.15	Professional		$24.55	$537.03	$1,148.15