Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.33 / $849.00 / $4,737.62	Facility		$197.33	$849.00	$4,737.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.93 / $168.69 / $312.47	Professional		$88.93	$168.69	$312.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $455.68 / $871.15 / $1,745.96	Facility		$455.68	$871.15	$1,745.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.82 / $169.37 / $276.50	Professional		$102.82	$169.37	$276.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.27 / $170.87 / $308.66	Professional		$97.27	$170.87	$308.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $123.98 / $235.53 / $596.08	Professional		$123.98	$235.53	$596.08
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 $108.34 / $111.15 / $221.98	Professional		$108.34	$111.15	$221.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $256.13	Professional		$32.34	$32.34	$256.13
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 $148.94 / $229.88 / $396.96	Professional		$148.94	$229.88	$396.96