Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.33 / $521.41 / $5,389.00	Facility		$122.33	$521.41	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.94 / $121.29 / $232.54	Professional		$67.94	$121.29	$232.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $307.42 / $623.49 / $1,359.91	Facility		$307.42	$623.49	$1,359.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.19 / $124.79 / $203.71	Professional		$79.19	$124.79	$203.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.00 / $128.84 / $208.19	Professional		$76.00	$128.84	$208.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $91.50 / $170.12 / $345.40	Professional		$91.50	$170.12	$345.40
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 $82.49 / $86.84 / $162.06	Professional		$82.49	$86.84	$162.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $186.99	Professional		$32.34	$32.34	$186.99
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $1,032.00 / $3,686.00	Facility		$165.00	$1,032.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $108.16 / $156.41 / $270.26	Professional		$108.16	$156.41	$270.26