Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.15 / $1,055.00 / $5,091.00	Facility		$142.15	$1,055.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.45 / $122.06 / $212.76	Professional		$76.45	$122.06	$212.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $273.41 / $764.55 / $1,667.58	Facility		$273.41	$764.55	$1,667.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.20 / $149.78 / $233.80	Professional		$102.20	$149.78	$233.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.95 / $144.88 / $244.31	Professional		$88.95	$144.88	$244.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $104.93 / $194.15 / $329.81	Professional		$104.93	$194.15	$329.81
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 $105.43 / $108.71 / $187.02	Professional		$105.43	$108.71	$187.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $211.47	Professional		$32.34	$32.34	$211.47
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 $123.71 / $176.84 / $290.67	Professional		$123.71	$176.84	$290.67