Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $345.87 / $1,278.00 / $5,549.00	Facility		$345.87	$1,278.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.68 / $213.08 / $388.49	Professional		$156.68	$213.08	$388.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $396.36 / $2,109.92 / $4,908.31	Facility		$396.36	$2,109.92	$4,908.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $259.00 / $339.41 / $364.81	Professional		$259.00	$339.41	$364.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.83 / $312.16 / $429.63	Professional		$225.83	$312.16	$429.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $231.23 / $353.82 / $1,001.47	Professional		$231.23	$353.82	$1,001.47
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 $221.51 / $264.49 / $300.60	Professional		$221.51	$264.49	$300.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $346.85	Professional		$32.34	$32.34	$346.85
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 $196.66 / $327.58 / $474.45	Professional		$196.66	$327.58	$474.45