Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $1,380.38 / $5,623.41	Facility		$245.47	$1,380.38	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $158.49 / $407.38	Professional		$114.82	$158.49	$407.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,380.38 / $2,630.27	Facility		$512.86	$1,380.38	$2,630.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $194.98 / $281.84	Professional		$147.91	$194.98	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $199.53 / $316.23	Professional		$134.90	$199.53	$316.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $239.88 / $676.08	Professional		$151.36	$239.88	$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 $147.91 / $158.49 / $229.09	Professional		$147.91	$158.49	$229.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
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 $125.89 / $186.21 / $323.59	Professional		$125.89	$186.21	$323.59