Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.36 / $1,365.00 / $5,389.00	Facility		$199.36	$1,365.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.87 / $147.35 / $231.85	Professional		$81.87	$147.35	$231.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $480.96 / $844.90 / $1,842.83	Facility		$480.96	$844.90	$1,842.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.85 / $153.85 / $153.85	Professional		$153.85	$153.85	$153.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $98.22 / $175.18 / $856.75	Professional		$98.22	$175.18	$856.75
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 $116.03 / $119.55 / $226.20	Professional		$116.03	$119.55	$226.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $261.00	Professional		$32.34	$32.34	$261.00
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $900.00 / $3,686.00	Facility		$165.00	$900.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $239.21 / $363.60 / $566.14	Professional		$239.21	$363.60	$566.14