Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.36 / $1,379.00 / $5,389.00	Facility		$57.36	$1,379.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.78 / $67.41 / $400.00	Professional		$41.78	$67.41	$400.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.05 / $559.10 / $1,219.48	Facility		$263.05	$559.10	$1,219.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.66 / $103.52 / $151.75	Professional		$73.66	$103.52	$151.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.01 / $134.01 / $134.01	Professional		$134.01	$134.01	$134.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $79.34 / $128.47 / $183.80	Professional		$79.34	$128.47	$183.80
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 $79.45 / $81.51 / $128.93	Professional		$79.45	$81.51	$128.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $148.77	Professional		$32.34	$32.34	$148.77
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $891.00 / $3,685.00	Facility		$165.00	$891.00	$3,685.00
United Facility/Professional Professional Modifier Low / Median / High Price $92.46 / $135.22 / $224.23	Professional		$92.46	$135.22	$224.23