Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.78 / $1,129.00 / $5,389.00	Facility		$187.78	$1,129.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.96 / $161.87 / $292.83	Professional		$91.96	$161.87	$292.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $731.63 / $1,084.16 / $2,169.84	Facility		$731.63	$1,084.16	$2,169.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.02 / $208.65 / $333.67	Professional		$137.02	$208.65	$333.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.47 / $199.52 / $321.52	Professional		$115.47	$199.52	$321.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $143.18 / $279.42 / $1,024.76	Professional		$143.18	$279.42	$1,024.76
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 $133.71 / $143.60 / $269.58	Professional		$133.71	$143.60	$269.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $311.06	Professional		$32.34	$32.34	$311.06
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 $165.44 / $231.62 / $390.90	Professional		$165.44	$231.62	$390.90