Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.71 / $463.98 / $3,270.00	Facility		$138.71	$463.98	$3,270.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.31 / $148.62 / $470.86	Professional		$87.31	$148.62	$470.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $170.42 / $737.16 / $2,033.44	Facility		$170.42	$737.16	$2,033.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.31 / $175.69 / $250.72	Professional		$123.31	$175.69	$250.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.75 / $157.03 / $258.45	Professional		$104.75	$157.03	$258.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.80 / $208.34 / $395.78	Professional		$120.80	$208.34	$395.78
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 $127.04 / $130.19 / $201.19	Professional		$127.04	$130.19	$201.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $227.50	Professional		$32.34	$32.34	$227.50
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $1,032.00 / $3,686.00	Facility		$165.00	$1,032.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $130.05 / $180.03 / $322.19	Professional		$130.05	$180.03	$322.19