Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.07 / $273.02 / $2,989.00	Facility		$109.07	$273.02	$2,989.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.40 / $206.43 / $354.87	Professional		$111.40	$206.43	$354.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.36 / $1,338.76 / $2,920.02	Facility		$177.36	$1,338.76	$2,920.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.19 / $232.32 / $364.61	Professional		$142.19	$232.32	$364.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.97 / $212.48 / $373.35	Professional		$123.97	$212.48	$373.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $158.90 / $288.30 / $613.94	Professional		$158.90	$288.30	$613.94
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 $145.04 / $147.55 / $272.68	Professional		$145.04	$147.55	$272.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $314.63	Professional		$32.34	$32.34	$314.63
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 $191.55 / $276.45 / $466.98	Professional		$191.55	$276.45	$466.98