Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $215.95 / $1,094.00 / $5,389.00	Facility		$215.95	$1,094.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.07 / $188.67 / $372.89	Professional		$111.07	$188.67	$372.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $733.81 / $1,207.04 / $2,632.70	Facility		$733.81	$1,207.04	$2,632.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.53 / $230.19 / $368.10	Professional		$157.53	$230.19	$368.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.58 / $223.54 / $368.01	Professional		$132.58	$223.54	$368.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $162.72 / $308.25 / $1,350.09	Professional		$162.72	$308.25	$1,350.09
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 $152.83 / $165.14 / $297.26	Professional		$152.83	$165.14	$297.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $342.99	Professional		$32.34	$32.34	$342.99
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 $189.14 / $264.80 / $456.31	Professional		$189.14	$264.80	$456.31