Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.58 / $923.00 / $5,430.00	Facility		$149.58	$923.00	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.08 / $143.99 / $265.44	Professional		$96.08	$143.99	$265.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $733.81 / $1,116.67 / $2,267.86	Facility		$733.81	$1,116.67	$2,267.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.09 / $196.75 / $276.01	Professional		$136.09	$196.75	$276.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.92 / $184.74 / $285.80	Professional		$121.92	$184.74	$285.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $139.66 / $235.76 / $941.62	Professional		$139.66	$235.76	$941.62
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 $130.01 / $142.79 / $222.48	Professional		$130.01	$142.79	$222.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $256.70	Professional		$32.34	$32.34	$256.70
United Facility/Professional Facility Modifier Low / Median / High Price $711.00 / $1,905.00 / $4,342.00	Facility		$711.00	$1,905.00	$4,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $148.94 / $203.42 / $345.61	Professional		$148.94	$203.42	$345.61