Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.91 / $849.00 / $5,091.00	Facility		$145.91	$849.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.45 / $145.47 / $230.05	Professional		$78.45	$145.47	$230.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.50 / $565.45 / $2,136.31	Facility		$134.50	$565.45	$2,136.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.07 / $160.12 / $298.51	Professional		$92.07	$160.12	$298.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.23 / $151.66 / $264.77	Professional		$87.23	$151.66	$264.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $107.77 / $213.05 / $497.24	Professional		$107.77	$213.05	$497.24
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 $89.53 / $95.85 / $196.69	Professional		$89.53	$95.85	$196.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $226.95	Professional		$32.34	$32.34	$226.95
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 $143.63 / $204.19 / $351.49	Professional		$143.63	$204.19	$351.49