Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.33 / $1,055.00 / $5,091.00	Facility		$88.33	$1,055.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.82 / $85.40 / $146.25	Professional		$53.82	$85.40	$146.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.36 / $691.49 / $1,508.23	Facility		$177.36	$691.49	$1,508.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.30 / $123.32 / $192.64	Professional		$65.30	$123.32	$192.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.40 / $97.40 / $156.65	Professional		$59.40	$97.40	$156.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $73.61 / $129.87 / $297.00	Professional		$73.61	$129.87	$297.00
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 $62.74 / $67.55 / $116.19	Professional		$62.74	$67.55	$116.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $134.07	Professional		$32.34	$32.34	$134.07
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 $84.10 / $118.56 / $205.12	Professional		$84.10	$118.56	$205.12