Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $2,187.76 / $5,888.44	Facility		$446.68	$2,187.76	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $186.21 / $398.11	Professional		$147.91	$186.21	$398.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $346.74 / $3,388.44	Facility		$257.04	$346.74	$3,388.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $263.03 / $316.23	Professional		$218.78	$263.03	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $302.00 / $457.09	Professional		$177.83	$302.00	$457.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $316.23 / $1,698.24	Professional		$186.21	$316.23	$1,698.24
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 $194.98 / $229.09 / $251.19	Professional		$194.98	$229.09	$251.19
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 $158.49 / $691.83 / $2,187.76	Facility		$158.49	$691.83	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $281.84 / $478.63	Professional		$165.96	$281.84	$478.63