Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.63 / $1,094.00 / $4,634.00	Facility		$99.63	$1,094.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.95 / $140.22 / $296.99	Professional		$46.95	$140.22	$296.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $309.82 / $662.72 / $1,327.09	Facility		$309.82	$662.72	$1,327.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.93 / $197.25 / $390.11	Professional		$61.93	$197.25	$390.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.06 / $158.55 / $368.77	Professional		$55.06	$158.55	$368.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $71.88 / $290.05 / $617.54	Professional		$71.88	$290.05	$617.54
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 $59.76 / $65.56 / $269.33	Professional		$59.76	$65.56	$269.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $310.77	Professional		$32.34	$32.34	$310.77
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $891.00 / $3,685.00	Facility		$165.00	$891.00	$3,685.00
United Facility/Professional Professional Modifier Low / Median / High Price $164.82 / $234.80 / $442.75	Professional		$164.82	$234.80	$442.75