Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.97 / $973.00 / $5,091.00	Facility		$93.97	$973.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.13 / $116.84 / $190.84	Professional		$51.13	$116.84	$190.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $373.96 / $799.92 / $1,601.83	Facility		$373.96	$799.92	$1,601.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.53 / $131.13 / $246.95	Professional		$60.53	$131.13	$246.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $115.51 / $250.17	Professional		$52.48	$115.51	$250.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $70.84 / $189.90 / $600.25	Professional		$70.84	$189.90	$600.25
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 $60.44 / $62.69 / $163.72	Professional		$60.44	$62.69	$163.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $185.13	Professional		$32.34	$32.34	$185.13
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 $120.54 / $198.41 / $339.47	Professional		$120.54	$198.41	$339.47