Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.19 / $1,129.00 / $5,091.00	Facility		$157.19	$1,129.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.86 / $134.33 / $257.58	Professional		$83.86	$134.33	$257.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $273.41 / $857.51 / $1,870.35	Facility		$273.41	$857.51	$1,870.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.20 / $165.63 / $250.18	Professional		$113.20	$165.63	$250.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.08 / $155.03 / $250.89	Professional		$97.08	$155.03	$250.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $116.22 / $207.91 / $342.58	Professional		$116.22	$207.91	$342.58
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 $115.78 / $120.21 / $200.21	Professional		$115.78	$120.21	$200.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $226.39	Professional		$32.34	$32.34	$226.39
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 $127.49 / $176.86 / $318.73	Professional		$127.49	$176.86	$318.73