Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.55 / $552.37 / $3,636.00	Facility		$118.55	$552.37	$3,636.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.64 / $102.29 / $175.40	Professional		$69.64	$102.29	$175.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $509.31 / $1,089.44 / $2,181.60	Facility		$509.31	$1,089.44	$2,181.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.66 / $138.86 / $237.61	Professional		$84.66	$138.86	$237.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.14 / $121.44 / $229.29	Professional		$73.14	$121.44	$229.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $96.31 / $186.00 / $453.09	Professional		$96.31	$186.00	$453.09
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 $83.59 / $87.78 / $156.51	Professional		$83.59	$87.78	$156.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $176.97	Professional		$32.34	$32.34	$176.97
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 $107.80 / $150.22 / $288.33	Professional		$107.80	$150.22	$288.33