Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $278.00 / $1,129.00 / $5,091.00	Facility		$278.00	$1,129.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.19 / $213.50 / $370.02	Professional		$150.19	$213.50	$370.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.75 / $1,511.88 / $3,297.61	Facility		$549.75	$1,511.88	$3,297.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.05 / $279.85 / $408.12	Professional		$199.05	$279.85	$408.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.97 / $266.56 / $417.24	Professional		$172.97	$266.56	$417.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $341.76 / $590.19	Professional		$200.00	$341.76	$590.19
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 $204.33 / $212.59 / $324.79	Professional		$204.33	$212.59	$324.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $367.26	Professional		$32.34	$32.34	$367.26
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 $208.89 / $295.04 / $529.55	Professional		$208.89	$295.04	$529.55