Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.59 / $1,055.00 / $5,389.00	Facility		$159.59	$1,055.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.34 / $137.93 / $289.23	Professional		$69.34	$137.93	$289.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $478.95 / $811.59 / $1,770.18	Facility		$478.95	$811.59	$1,770.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.42 / $168.82 / $269.97	Professional		$107.42	$168.82	$269.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.51 / $148.65 / $277.31	Professional		$78.51	$148.65	$277.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $206.00 / $333.62	Professional		$100.00	$206.00	$333.62
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 $113.06 / $114.63 / $215.87	Professional		$113.06	$114.63	$215.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $244.09	Professional		$32.34	$32.34	$244.09
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 $125.00 / $195.66 / $355.63	Professional		$125.00	$195.66	$355.63