Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.19 / $1,055.00 / $5,091.00	Facility		$137.19	$1,055.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.56 / $132.76 / $226.97	Professional		$72.56	$132.76	$226.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.91 / $874.04 / $2,033.28	Facility		$316.91	$874.04	$2,033.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.81 / $173.83 / $350.95	Professional		$86.81	$173.83	$350.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.41 / $143.00 / $262.89	Professional		$80.41	$143.00	$262.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.63 / $221.81 / $410.57	Professional		$100.63	$221.81	$410.57
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 $84.34 / $90.22 / $212.28	Professional		$84.34	$90.22	$212.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $244.94	Professional		$32.34	$32.34	$244.94
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 $128.74 / $177.98 / $300.20	Professional		$128.74	$177.98	$300.20