Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.19 / $528.45 / $5,405.00	Facility		$187.19	$528.45	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.26 / $187.19 / $314.77	Professional		$108.26	$187.19	$314.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $961.63 / $1,338.94 / $2,237.05	Facility		$961.63	$1,338.94	$2,237.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.22 / $201.50 / $324.95	Professional		$135.22	$201.50	$324.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.52 / $216.29 / $357.24	Professional		$124.52	$216.29	$357.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $157.32 / $280.97 / $546.91	Professional		$157.32	$280.97	$546.91
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 $142.35 / $145.83 / $260.89	Professional		$142.35	$145.83	$260.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $301.04	Professional		$32.34	$32.34	$301.04
United Facility/Professional Facility Modifier Low / Median / High Price $749.00 / $2,588.00 / $5,026.00	Facility		$749.00	$2,588.00	$5,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $200.11 / $296.82 / $488.85	Professional		$200.11	$296.82	$488.85