Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.04 / $263.73 / $5,389.00	Facility		$101.04	$263.73	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.36 / $97.32 / $166.84	Professional		$73.36	$97.32	$166.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.91 / $845.82 / $1,967.65	Facility		$316.91	$845.82	$1,967.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.38 / $145.13 / $186.01	Professional		$93.38	$145.13	$186.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.80 / $121.36 / $173.41	Professional		$79.80	$121.36	$173.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $96.28 / $140.05 / $333.49	Professional		$96.28	$140.05	$333.49
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 $88.09 / $93.46 / $125.05	Professional		$88.09	$93.46	$125.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $144.29	Professional		$32.34	$32.34	$144.29
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 $91.31 / $127.74 / $225.80	Professional		$91.31	$127.74	$225.80