Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.46 / $973.00 / $5,091.00	Facility		$150.46	$973.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.75 / $103.79 / $174.93	Professional		$78.75	$103.79	$174.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $548.28 / $1,172.80 / $2,348.53	Facility		$548.28	$1,172.80	$2,348.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.81 / $139.69 / $197.02	Professional		$91.81	$139.69	$197.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.45 / $126.68 / $205.88	Professional		$82.45	$126.68	$205.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $108.28 / $167.52 / $402.64	Professional		$108.28	$167.52	$402.64
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 $95.20 / $100.54 / $144.74	Professional		$95.20	$100.54	$144.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $163.66	Professional		$32.34	$32.34	$163.66
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 $99.51 / $135.24 / $256.14	Professional		$99.51	$135.24	$256.14