Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.79 / $973.00 / $5,091.00	Facility		$309.79	$973.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.76 / $267.44 / $476.14	Professional		$133.76	$267.44	$476.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $837.98 / $1,792.48 / $3,589.44	Facility		$837.98	$1,792.48	$3,589.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.25 / $324.70 / $535.63	Professional		$170.25	$324.70	$535.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.06 / $302.49 / $568.75	Professional		$164.06	$302.49	$568.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $202.59 / $453.73 / $1,394.56	Professional		$202.59	$453.73	$1,394.56
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 $169.98 / $178.49 / $399.11	Professional		$169.98	$178.49	$399.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $451.30	Professional		$32.34	$32.34	$451.30
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 $327.08 / $443.14 / $704.84	Professional		$327.08	$443.14	$704.84