Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.61 / $1,278.00 / $5,549.00	Facility		$193.61	$1,278.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.65 / $119.16 / $217.70	Professional		$87.65	$119.16	$217.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $418.55 / $1,179.88 / $2,744.76	Facility		$418.55	$1,179.88	$2,744.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.41 / $174.78 / $230.45	Professional		$126.41	$174.78	$230.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $132.47 / $199.31 / $447.31	Professional		$132.47	$199.31	$447.31
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 $123.02 / $148.06 / $168.30	Professional		$123.02	$148.06	$168.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $194.19	Professional		$32.34	$32.34	$194.19
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 $110.06 / $162.26 / $265.52	Professional		$110.06	$162.26	$265.52