Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.61 / $1,055.00 / $5,091.00	Facility		$87.61	$1,055.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.18 / $87.61 / $176.94	Professional		$52.18	$87.61	$176.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $476.95 / $625.11 / $1,128.20	Facility		$476.95	$625.11	$1,128.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.93 / $99.57 / $159.22	Professional		$65.93	$99.57	$159.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.47 / $105.04 / $164.94	Professional		$61.47	$105.04	$164.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $75.70 / $136.00 / $357.85	Professional		$75.70	$136.00	$357.85
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 $64.44 / $70.30 / $127.27	Professional		$64.44	$70.30	$127.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $146.85	Professional		$32.34	$32.34	$146.85
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $916.00 / $3,606.00	Facility		$165.00	$916.00	$3,606.00
United Facility/Professional Professional Modifier Low / Median / High Price $88.81 / $123.90 / $206.79	Professional		$88.81	$123.90	$206.79