Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,698.24 / $5,623.41	Facility		$416.87	$1,698.24	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $331.13 / $691.83	Professional		$190.55	$331.13	$691.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $707.95 / $4,073.80	Facility		$524.81	$707.95	$4,073.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $398.11 / $630.96	Professional		$263.03	$398.11	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $389.05 / $660.69	Professional		$234.42	$389.05	$660.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $512.86 / $1,202.26	Professional		$263.03	$512.86	$1,202.26
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 $257.04 / $275.42 / $512.86	Professional		$257.04	$275.42	$512.86
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 / $758.58 / $2,187.76	Facility		$158.49	$758.58	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $363.08 / $660.69	Professional		$218.78	$363.08	$660.69