Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.28 / $923.00 / $5,405.00	Facility		$127.28	$923.00	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.54 / $124.37 / $209.54	Professional		$93.54	$124.37	$209.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $528.28 / $1,050.21 / $2,290.65	Facility		$528.28	$1,050.21	$2,290.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.41 / $170.68 / $203.06	Professional		$115.41	$170.68	$203.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.56 / $154.55 / $274.60	Professional		$105.56	$154.55	$274.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $104.60 / $171.16 / $529.75	Professional		$104.60	$171.16	$529.75
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 $121.03 / $123.62 / $152.01	Professional		$121.03	$123.62	$152.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $171.89	Professional		$32.34	$32.34	$171.89
United Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $963.00 / $3,686.00	Facility		$150.00	$963.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $107.60 / $142.04 / $294.89	Professional		$107.60	$142.04	$294.89