Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.55 / $923.00 / $5,430.00	Facility		$135.55	$923.00	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.34 / $124.91 / $239.00	Professional		$87.34	$124.91	$239.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $731.63 / $1,040.09 / $2,064.66	Facility		$731.63	$1,040.09	$2,064.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.89 / $178.19 / $249.00	Professional		$122.89	$178.19	$249.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.36 / $159.16 / $247.98	Professional		$106.36	$159.16	$247.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $208.52 / $910.90	Professional		$125.00	$208.52	$910.90
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 $118.56 / $129.32 / $200.28	Professional		$118.56	$129.32	$200.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $231.09	Professional		$32.34	$32.34	$231.09
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 $123.21 / $181.41 / $314.92	Professional		$123.21	$181.41	$314.92