Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.36 / $923.00 / $5,430.00	Facility		$133.36	$923.00	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.74 / $115.37 / $224.43	Professional		$63.74	$115.37	$224.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $477.53 / $678.86 / $1,354.18	Facility		$477.53	$678.86	$1,354.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.19 / $148.94 / $238.19	Professional		$80.19	$148.94	$238.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.33 / $128.44 / $234.61	Professional		$78.33	$128.44	$234.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $93.66 / $194.63 / $307.67	Professional		$93.66	$194.63	$307.67
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 $82.12 / $86.97 / $189.44	Professional		$82.12	$86.97	$189.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $214.21	Professional		$32.34	$32.34	$214.21
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 $105.22 / $172.58 / $322.04	Professional		$105.22	$172.58	$322.04