Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $1,862.09 / $8,511.38	Facility		$134.90	$1,862.09	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $125.89 / $257.04	Professional		$87.10	$125.89	$257.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,071.52 / $1,905.46	Facility		$912.01	$1,071.52	$1,905.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $177.83 / $251.19	Professional		$123.03	$177.83	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $165.96 / $251.19	Professional		$107.15	$165.96	$251.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $208.93 / $977.24	Professional		$125.89	$208.93	$977.24
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 $117.49 / $128.82 / $199.53	Professional		$117.49	$128.82	$199.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $758.58 / $2,344.23	Facility		$158.49	$758.58	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $151.36 / $269.15	Professional		$100.00	$151.36	$269.15