Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $3,235.94 / $9,772.37	Facility		$630.96	$3,235.94	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $95.50 / $114.82	Professional		$57.54	$95.50	$114.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $213.80 / $229.09	Professional		$186.21	$213.80	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $117.49 / $218.78	Professional		$114.82	$117.49	$218.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $147.91 / $218.78	Professional		$107.15	$147.91	$218.78
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 $125.89 / $128.82 / $141.25	Professional		$125.89	$128.82	$141.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $158.49	Professional		$147.91	$147.91	$158.49
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $851.14 / $2,630.27	Facility		$151.36	$851.14	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $117.49 / $194.98	Professional		$87.10	$117.49	$194.98