Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.45 / $460.88 / $5,389.00	Facility		$200.45	$460.88	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.65 / $198.01 / $340.80	Professional		$113.65	$198.01	$340.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $603.44 / $1,180.83 / $2,312.14	Facility		$603.44	$1,180.83	$2,312.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.03 / $204.67 / $334.11	Professional		$136.03	$204.67	$334.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.79 / $218.38 / $360.61	Professional		$125.79	$218.38	$360.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $153.33 / $284.60 / $491.69	Professional		$153.33	$284.60	$491.69
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 $145.69 / $147.10 / $267.88	Professional		$145.69	$147.10	$267.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $309.08	Professional		$32.34	$32.34	$309.08
United Facility/Professional Facility Modifier Low / Median / High Price $553.00 / $1,900.00 / $4,342.00	Facility		$553.00	$1,900.00	$4,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $195.24 / $285.02 / $515.00	Professional		$195.24	$285.02	$515.00