Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.75 / $1,129.00 / $5,091.00	Facility		$192.75	$1,129.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.03 / $164.44 / $307.39	Professional		$102.03	$164.44	$307.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $273.41 / $1,054.15 / $2,299.23	Facility		$273.41	$1,054.15	$2,299.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.16 / $203.09 / $299.79	Professional		$138.16	$203.09	$299.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.39 / $189.04 / $310.82	Professional		$120.39	$189.04	$310.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $145.13 / $242.67 / $401.17	Professional		$145.13	$242.67	$401.17
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 $142.53 / $147.38 / $239.07	Professional		$142.53	$147.38	$239.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $270.33	Professional		$32.34	$32.34	$270.33
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 $151.37 / $215.91 / $379.88	Professional		$151.37	$215.91	$379.88