Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.56 / $310.93 / $5,389.00	Facility		$155.56	$310.93	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.85 / $174.41 / $258.54	Professional		$94.85	$174.41	$258.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $160.72 / $596.38 / $1,514.63	Facility		$160.72	$596.38	$1,514.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.48 / $234.67 / $339.64	Professional		$111.48	$234.67	$339.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.41 / $208.86 / $378.11	Professional		$105.41	$208.86	$378.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $134.91 / $323.00 / $606.34	Professional		$134.91	$323.00	$606.34
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 $120.29 / $122.82 / $301.45	Professional		$120.29	$122.82	$301.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $340.88	Professional		$32.34	$32.34	$340.88
United Facility/Professional Professional Modifier Low / Median / High Price $196.87 / $272.88 / $451.31	Professional		$196.87	$272.88	$451.31