Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.19 / $1,129.00 / $5,091.00	Facility		$223.19	$1,129.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.30 / $190.88 / $341.35	Professional		$118.30	$190.88	$341.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.75 / $1,218.99 / $2,658.78	Facility		$549.75	$1,218.99	$2,658.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.80 / $235.18 / $348.79	Professional		$159.80	$235.18	$348.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.33 / $218.08 / $357.06	Professional		$139.33	$218.08	$357.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $167.80 / $292.08 / $514.97	Professional		$167.80	$292.08	$514.97
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 $164.87 / $170.68 / $277.95	Professional		$164.87	$170.68	$277.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $314.30	Professional		$32.34	$32.34	$314.30
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 $181.60 / $250.70 / $445.63	Professional		$181.60	$250.70	$445.63