Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $220.72 / $1,365.00 / $5,389.00	Facility		$220.72	$1,365.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.32 / $161.61 / $256.38	Professional		$100.32	$161.61	$256.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $528.28 / $958.62 / $2,090.89	Facility		$528.28	$958.62	$2,090.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.78 / $199.55 / $322.30	Professional		$147.78	$199.55	$322.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.49 / $173.49 / $173.49	Professional		$173.49	$173.49	$173.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $111.63 / $197.92 / $856.75	Professional		$111.63	$197.92	$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 $132.37 / $136.12 / $254.81	Professional		$132.37	$136.12	$254.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $294.02	Professional		$32.34	$32.34	$294.02
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 $237.94 / $355.14 / $550.49	Professional		$237.94	$355.14	$550.49