Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.16 / $1,129.00 / $5,091.00	Facility		$222.16	$1,129.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.42 / $187.25 / $349.97	Professional		$123.42	$187.25	$349.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $273.41 / $1,216.17 / $2,652.62	Facility		$273.41	$1,216.17	$2,652.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.07 / $234.07 / $342.92	Professional		$159.07	$234.07	$342.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.65 / $217.28 / $358.33	Professional		$138.65	$217.28	$358.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $167.00 / $283.74 / $474.47	Professional		$167.00	$283.74	$474.47
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 $164.05 / $169.88 / $273.23	Professional		$164.05	$169.88	$273.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $308.95	Professional		$32.34	$32.34	$308.95
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 $173.96 / $255.03 / $440.87	Professional		$173.96	$255.03	$440.87