Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $250.95 / $1,278.00 / $5,389.00	Facility		$250.95	$1,278.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.21 / $131.66 / $233.72	Professional		$116.21	$131.66	$233.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $717.96 / $1,535.76 / $3,075.35	Facility		$717.96	$1,535.76	$3,075.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.09 / $189.95 / $253.24	Professional		$149.09	$189.95	$253.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.61 / $185.86 / $292.95	Professional		$125.61	$185.86	$292.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $153.07 / $223.70 / $633.17	Professional		$153.07	$223.70	$633.17
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 $153.24 / $161.56 / $173.03	Professional		$153.24	$161.56	$173.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $195.66	Professional		$32.34	$32.34	$195.66
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 $131.85 / $195.37 / $345.10	Professional		$131.85	$195.37	$345.10