Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.64 / $466.88 / $3,186.37	Facility		$119.64	$466.88	$3,186.37
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $44.65 / $87.50 / $134.97	Facility	52	$44.65	$87.50	$134.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.97 / $123.52 / $322.19	Professional		$84.97	$123.52	$322.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $495.17 / $869.86 / $1,897.29	Facility		$495.17	$869.86	$1,897.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.64 / $161.78 / $217.33	Professional		$113.64	$161.78	$217.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.94 / $142.04 / $228.78	Professional		$91.94	$142.04	$228.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $108.63 / $180.48 / $320.26	Professional		$108.63	$180.48	$320.26
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 $115.96 / $120.15 / $174.06	Professional		$115.96	$120.15	$174.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $196.82	Professional		$32.34	$32.34	$196.82
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 $108.51 / $159.50 / $277.94	Professional		$108.51	$159.50	$277.94