Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.59 / $564.60 / $3,221.00	Facility		$167.59	$564.60	$3,221.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.86 / $165.06 / $318.63	Professional		$109.86	$165.06	$318.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.15 / $1,274.58 / $2,741.22	Facility		$204.15	$1,274.58	$2,741.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $224.79 / $320.62	Professional		$147.91	$224.79	$320.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.68 / $212.60 / $336.94	Professional		$131.68	$212.60	$336.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $161.36 / $265.01 / $470.02	Professional		$161.36	$265.01	$470.02
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 $149.84 / $155.62 / $246.08	Professional		$149.84	$155.62	$246.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $283.94	Professional		$32.34	$32.34	$283.94
United Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $1,763.00 / $4,256.00	Facility		$600.00	$1,763.00	$4,256.00
United Facility/Professional Professional Modifier Low / Median / High Price $184.61 / $246.89 / $397.08	Professional		$184.61	$246.89	$397.08