Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.36 / $923.00 / $5,430.00	Facility		$101.36	$923.00	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.37 / $93.22 / $181.66	Professional		$62.37	$93.22	$181.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $635.03 / $874.19 / $1,477.27	Facility		$635.03	$874.19	$1,477.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.68 / $126.97 / $186.15	Professional		$87.68	$126.97	$186.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.67 / $119.77 / $185.70	Professional		$74.67	$119.77	$185.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $91.44 / $155.88 / $731.97	Professional		$91.44	$155.88	$731.97
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 $84.36 / $92.14 / $149.94	Professional		$84.36	$92.14	$149.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $169.55	Professional		$32.34	$32.34	$169.55
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 $96.52 / $136.82 / $232.85	Professional		$96.52	$136.82	$232.85