Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.55 / $1,129.00 / $5,091.00	Facility		$114.55	$1,129.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.70 / $88.37 / $165.96	Professional		$58.70	$88.37	$165.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $273.41 / $627.82 / $1,369.37	Facility		$273.41	$627.82	$1,369.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.37 / $114.24 / $166.14	Professional		$82.37	$114.24	$166.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.47 / $110.30 / $172.83	Professional		$69.47	$110.30	$172.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $83.48 / $139.13 / $262.30	Professional		$83.48	$139.13	$262.30
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 $85.23 / $87.59 / $132.59	Professional		$85.23	$87.59	$132.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $152.99	Professional		$32.34	$32.34	$152.99
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 $86.01 / $117.03 / $204.54	Professional		$86.01	$117.03	$204.54