Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.88 / $1,452.00 / $5,389.00	Facility		$131.88	$1,452.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.52 / $105.16 / $153.16	Professional		$45.52	$105.16	$153.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $276.01 / $590.40 / $1,182.27	Facility		$276.01	$590.40	$1,182.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.44 / $145.59 / $267.72	Professional		$67.44	$145.59	$267.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $75.37 / $200.67 / $659.20	Professional		$75.37	$200.67	$659.20
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 $60.29 / $66.95 / $188.72	Professional		$60.29	$66.95	$188.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $217.76	Professional		$32.34	$32.34	$217.76
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 $158.15 / $243.55 / $415.98	Professional		$158.15	$243.55	$415.98