Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.00 / $1,129.00 / $5,091.00	Facility		$197.00	$1,129.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.62 / $168.11 / $297.30	Professional		$104.62	$168.11	$297.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $273.41 / $1,076.95 / $2,348.96	Facility		$273.41	$1,076.95	$2,348.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.09 / $207.57 / $313.25	Professional		$141.09	$207.57	$313.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.94 / $194.89 / $317.24	Professional		$122.94	$194.89	$317.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $148.29 / $259.39 / $432.03	Professional		$148.29	$259.39	$432.03
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 $145.83 / $150.63 / $249.78	Professional		$145.83	$150.63	$249.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $282.45	Professional		$32.34	$32.34	$282.45
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 $163.19 / $227.46 / $401.49	Professional		$163.19	$227.46	$401.49