Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.81 / $346.88 / $1,512.27	Facility		$104.81	$346.88	$1,512.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.70 / $110.24 / $264.97	Professional		$55.70	$110.24	$264.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.05 / $560.15 / $1,221.77	Facility		$263.05	$560.15	$1,221.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.06 / $123.95 / $198.22	Professional		$72.06	$123.95	$198.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.56 / $136.83 / $223.10	Professional		$67.56	$136.83	$223.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $82.80 / $169.31 / $514.89	Professional		$82.80	$169.31	$514.89
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 $65.51 / $75.59 / $160.21	Professional		$65.51	$75.59	$160.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $181.16	Professional		$32.34	$32.34	$181.16
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 $104.34 / $167.92 / $267.17	Professional		$104.34	$167.92	$267.17