Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.69 / $1,094.00 / $5,389.00	Facility		$210.69	$1,094.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.44 / $218.41 / $447.77	Professional		$116.44	$218.41	$447.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $411.32 / $1,227.93 / $2,678.27	Facility		$411.32	$1,227.93	$2,678.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.86 / $259.69 / $438.01	Professional		$128.86	$259.69	$438.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.79 / $254.48 / $466.91	Professional		$116.79	$254.48	$466.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $124.84 / $338.00 / $603.41	Professional		$124.84	$338.00	$603.41
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 $138.03 / $138.68 / $332.80	Professional		$138.03	$138.68	$332.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $376.32	Professional		$32.34	$32.34	$376.32
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 $228.32 / $321.13 / $583.01	Professional		$228.32	$321.13	$583.01