Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $1,513.56 / $5,623.41	Facility		$112.20	$1,513.56	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $112.20 / $245.47	Professional		$52.48	$112.20	$245.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $4,168.69 / $5,623.41	Facility		$275.42	$4,168.69	$5,623.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $128.82 / $218.78	Professional		$72.44	$128.82	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $125.89 / $223.87	Professional		$70.79	$125.89	$223.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $177.83 / $436.52	Professional		$87.10	$177.83	$436.52
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 $74.13 / $75.86 / $165.96	Professional		$74.13	$75.86	$165.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $4,365.16 / $8,912.51	Facility		$1,698.24	$4,365.16	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $125.89 / $218.78	Professional		$64.57	$125.89	$218.78