Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.83 / $284.29 / $5,389.00	Facility		$105.83	$284.29	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.30 / $169.24 / $265.39	Professional		$64.30	$169.24	$265.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $106.67 / $475.96 / $1,015.09	Facility		$106.67	$475.96	$1,015.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.72 / $200.49 / $290.18	Professional		$73.72	$200.49	$290.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.34 / $170.57 / $329.19	Professional		$71.34	$170.57	$329.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $89.73 / $271.17 / $592.19	Professional		$89.73	$271.17	$592.19
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $2,429.96 / $2,429.96 / $2,429.96	Facility		$2,429.96	$2,429.96	$2,429.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $80.67 / $81.61 / $258.48	Professional		$80.67	$81.61	$258.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $292.27	Professional		$32.34	$32.34	$292.27
United Facility/Professional Professional Modifier Low / Median / High Price $171.05 / $239.36 / $400.18	Professional		$171.05	$239.36	$400.18