Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $235.11 / $1,609.00 / $5,549.00	Facility		$235.11	$1,609.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.27 / $216.56 / $261.72	Professional		$170.27	$216.56	$261.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $439.53 / $1,223.99 / $5,219.34	Facility		$439.53	$1,223.99	$5,219.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.81 / $288.85 / $375.48	Professional		$205.81	$288.85	$375.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $203.95 / $293.88 / $517.28	Professional		$203.95	$293.88	$517.28
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 $207.56 / $241.03 / $269.41	Professional		$207.56	$241.03	$269.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $304.64	Professional		$32.34	$32.34	$304.64
United Facility/Professional Facility Modifier Low / Median / High Price $578.00 / $2,873.00 / $7,384.00	Facility		$578.00	$2,873.00	$7,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $198.10 / $249.91 / $464.22	Professional		$198.10	$249.91	$464.22