Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.89 / $1,476.00 / $5,389.00	Facility		$216.89	$1,476.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.30 / $174.46 / $248.14	Professional		$63.30	$174.46	$248.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $371.15 / $793.92 / $1,589.82	Facility		$371.15	$793.92	$1,589.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.30 / $217.14 / $386.12	Professional		$86.30	$217.14	$386.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.70 / $222.93 / $447.91	Professional		$92.70	$222.93	$447.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $104.02 / $329.81 / $589.04	Professional		$104.02	$329.81	$589.04
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 $83.98 / $92.70 / $310.52	Professional		$83.98	$92.70	$310.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $358.29	Professional		$32.34	$32.34	$358.29
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 $279.05 / $395.38 / $589.08	Professional		$279.05	$395.38	$589.08