Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $289.93 / $1,289.00 / $5,389.00	Facility		$289.93	$1,289.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.99 / $176.61 / $289.93	Professional		$139.99	$176.61	$289.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $505.97 / $1,586.81 / $3,691.40	Facility		$505.97	$1,586.81	$3,691.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.88 / $228.22 / $344.14	Professional		$168.88	$228.22	$344.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $183.79 / $267.33 / $760.61	Professional		$183.79	$267.33	$760.61
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 $183.90 / $197.80 / $217.20	Professional		$183.90	$197.80	$217.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $250.62	Professional		$32.34	$32.34	$250.62
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 $160.24 / $221.09 / $363.41	Professional		$160.24	$221.09	$363.41