Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.08 / $988.00 / $5,389.00	Facility		$139.08	$988.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.82 / $206.45 / $635.79	Professional		$103.82	$206.45	$635.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $528.28 / $966.90 / $2,108.94	Facility		$528.28	$966.90	$2,108.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.05 / $182.79 / $243.55	Professional		$126.05	$182.79	$243.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.64 / $203.29 / $315.72	Professional		$117.64	$203.29	$315.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $128.41 / $213.81 / $566.09	Professional		$128.41	$213.81	$566.09
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 $119.25 / $132.65 / $195.77	Professional		$119.25	$132.65	$195.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $102.70 / $221.37	Professional		$32.34	$102.70	$221.37
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 $142.28 / $240.35 / $390.03	Professional		$142.28	$240.35	$390.03