Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.95 / $377.72 / $3,002.00	Facility		$118.95	$377.72	$3,002.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.92 / $126.75 / $248.63	Professional		$67.92	$126.75	$248.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $273.41 / $709.69 / $1,547.92	Facility		$273.41	$709.69	$1,547.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.19 / $150.87 / $241.26	Professional		$92.19	$150.87	$241.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.42 / $163.13 / $266.66	Professional		$86.42	$163.13	$266.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $104.31 / $204.90 / $683.17	Professional		$104.31	$204.90	$683.17
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 $84.28 / $96.86 / $194.75	Professional		$84.28	$96.86	$194.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $220.22	Professional		$32.34	$32.34	$220.22
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 $126.07 / $194.89 / $317.70	Professional		$126.07	$194.89	$317.70