Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.06 / $155.22 / $2,926.40	Facility		$80.06	$155.22	$2,926.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.58 / $82.07 / $155.54	Professional		$73.58	$82.07	$155.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $748.31 / $1,624.18 / $2,785.37	Facility		$748.31	$1,624.18	$2,785.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.17 / $118.71 / $158.46	Professional		$93.17	$118.71	$158.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.77 / $109.77 / $175.82	Professional		$109.77	$109.77	$175.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $91.50 / $138.06 / $492.58	Professional		$91.50	$138.06	$492.58
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 $98.27 / $101.10 / $108.13	Professional		$98.27	$101.10	$108.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $124.77	Professional		$32.34	$32.34	$124.77
United Facility/Professional Facility Modifier Low / Median / High Price $749.00 / $2,622.00 / $5,026.00	Facility		$749.00	$2,622.00	$5,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $82.83 / $116.64 / $184.00	Professional		$82.83	$116.64	$184.00