Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.92 / $813.00 / $5,389.00	Facility		$163.92	$813.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.37 / $160.12 / $289.45	Professional		$119.37	$160.12	$289.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $831.88 / $1,561.20 / $3,187.42	Facility		$831.88	$1,561.20	$3,187.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.55 / $237.59 / $281.50	Professional		$168.55	$237.59	$281.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.02 / $225.72 / $316.74	Professional		$153.02	$225.72	$316.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $172.69 / $252.41 / $922.76	Professional		$172.69	$252.41	$922.76
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 $145.16 / $172.25 / $231.32	Professional		$145.16	$172.25	$231.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $266.91	Professional		$32.34	$32.34	$266.91
United Facility/Professional Facility Modifier Low / Median / High Price $553.00 / $1,763.00 / $4,342.00	Facility		$553.00	$1,763.00	$4,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $158.08 / $216.47 / $357.69	Professional		$158.08	$216.47	$357.69