Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.76 / $973.00 / $5,091.00	Facility		$119.76	$973.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.80 / $137.94 / $230.19	Professional		$59.80	$137.94	$230.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $314.98 / $673.76 / $1,349.20	Facility		$314.98	$673.76	$1,349.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.77 / $152.30 / $248.63	Professional		$69.77	$152.30	$248.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.66 / $136.36 / $278.14	Professional		$66.66	$136.36	$278.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $86.09 / $228.68 / $469.70	Professional		$86.09	$228.68	$469.70
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 $72.75 / $77.17 / $198.19	Professional		$72.75	$77.17	$198.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $224.10	Professional		$32.34	$32.34	$224.10
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 $136.80 / $192.16 / $381.18	Professional		$136.80	$192.16	$381.18