Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $1,380.38 / $5,623.41	Facility		$104.71	$1,380.38	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $100.00 / $204.17	Professional		$43.65	$100.00	$204.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $954.99 / $1,230.27	Facility		$229.09	$954.99	$1,230.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $109.65 / $186.21	Professional		$56.23	$109.65	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $112.20 / $199.53	Professional		$54.95	$112.20	$199.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $158.49 / $380.19	Professional		$67.61	$158.49	$380.19
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 $57.54 / $60.26 / $138.04	Professional		$57.54	$60.26	$138.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,479.11 / $3,801.89	Facility		$588.84	$1,479.11	$3,801.89
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $109.65 / $194.98	Professional		$52.48	$109.65	$194.98