Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.59 / $1,094.00 / $5,091.00	Facility		$198.59	$1,094.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.68 / $176.00 / $330.95	Professional		$110.68	$176.00	$330.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $273.41 / $1,085.56 / $2,367.73	Facility		$273.41	$1,085.56	$2,367.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.19 / $209.26 / $320.75	Professional		$142.19	$209.26	$320.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.64 / $198.77 / $320.62	Professional		$124.64	$198.77	$320.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $149.47 / $268.61 / $514.90	Professional		$149.47	$268.61	$514.90
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 $147.08 / $151.87 / $255.80	Professional		$147.08	$151.87	$255.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $289.25	Professional		$32.34	$32.34	$289.25
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 $167.19 / $236.03 / $408.16	Professional		$167.19	$236.03	$408.16