Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.67 / $1,017.00 / $5,430.00	Facility		$85.67	$1,017.00	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.76 / $85.67 / $136.91	Professional		$64.76	$85.67	$136.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $382.56 / $672.04 / $1,465.81	Facility		$382.56	$672.04	$1,465.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.45 / $116.78 / $137.40	Professional		$74.45	$116.78	$137.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.63 / $99.71 / $161.88	Professional		$64.63	$99.71	$161.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $64.90 / $111.26 / $354.95	Professional		$64.90	$111.26	$354.95
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 $77.17 / $80.34 / $102.34	Professional		$77.17	$80.34	$102.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $115.72	Professional		$32.34	$32.34	$115.72
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 $74.36 / $96.38 / $169.76	Professional		$74.36	$96.38	$169.76