Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,819.70 / $5,888.44	Facility		$229.09	$1,819.70	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $218.78 / $457.09	Professional		$131.83	$218.78	$457.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,071.52 / $2,818.38	Facility		$891.25	$1,071.52	$2,818.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $269.15 / $398.11	Professional		$181.97	$269.15	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $263.03 / $436.52	Professional		$162.18	$263.03	$436.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $331.13 / $676.08	Professional		$190.55	$331.13	$676.08
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 $186.21 / $194.98 / $316.23	Professional		$186.21	$194.98	$316.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,479.11 / $3,801.89	Facility		$588.84	$1,479.11	$3,801.89
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $239.88 / $426.58	Professional		$151.36	$239.88	$426.58