Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.78 / $594.90 / $5,389.00	Facility		$158.78	$594.90	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.21 / $158.78 / $273.43	Professional		$108.21	$158.78	$273.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $273.41 / $1,331.67 / $2,904.54	Facility		$273.41	$1,331.67	$2,904.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.07 / $216.88 / $289.73	Professional		$140.07	$216.88	$289.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.24 / $184.07 / $267.49	Professional		$119.24	$184.07	$267.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $142.69 / $216.52 / $385.16	Professional		$142.69	$216.52	$385.16
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 $136.81 / $139.66 / $195.55	Professional		$136.81	$139.66	$195.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $225.63	Professional		$32.34	$32.34	$225.63
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 $136.80 / $182.33 / $302.63	Professional		$136.80	$182.33	$302.63