Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $214.11 / $1,055.00 / $5,091.00	Facility		$214.11	$1,055.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.40 / $234.81 / $406.02	Professional		$110.40	$234.81	$406.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $610.47 / $1,243.95 / $2,893.80	Facility		$610.47	$1,243.95	$2,893.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.02 / $272.66 / $466.41	Professional		$146.02	$272.66	$466.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.01 / $243.96 / $452.91	Professional		$133.01	$243.96	$452.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $164.00 / $348.30 / $742.50	Professional		$164.00	$348.30	$742.50
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 $146.85 / $152.28 / $348.49	Professional		$146.85	$152.28	$348.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $402.11	Professional		$32.34	$32.34	$402.11
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $900.00 / $3,686.00	Facility		$165.00	$900.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $227.95 / $318.63 / $567.99	Professional		$227.95	$318.63	$567.99