Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.62 / $535.16 / $3,221.00	Facility		$130.62	$535.16	$3,221.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.04 / $170.57 / $438.19	Professional		$90.04	$170.57	$438.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $840.96 / $1,141.77 / $2,060.65	Facility		$840.96	$1,141.77	$2,060.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.74 / $250.82 / $401.10	Professional		$124.74	$250.82	$401.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.27 / $185.98 / $387.01	Professional		$104.27	$185.98	$387.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $122.50 / $304.82 / $563.91	Professional		$122.50	$304.82	$563.91
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 $125.32 / $130.79 / $324.58	Professional		$125.32	$130.79	$324.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $367.03	Professional		$32.34	$32.34	$367.03
United Facility/Professional Facility Modifier Low / Median / High Price $711.00 / $1,905.00 / $4,342.00	Facility		$711.00	$1,905.00	$4,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $161.81 / $248.02 / $442.32	Professional		$161.81	$248.02	$442.32