Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $1,862.09 / $5,623.41	Facility		$213.80	$1,862.09	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $117.49 / $257.04	Professional		$93.33	$117.49	$257.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $1,288.25 / $2,454.71	Facility		$478.63	$1,288.25	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $162.18 / $245.47	Professional		$112.20	$162.18	$245.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $199.53 / $691.83	Professional		$120.23	$199.53	$691.83
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 $120.23 / $141.25 / $173.78	Professional		$120.23	$141.25	$173.78
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 $104.71 / $151.36 / $257.04	Professional		$104.71	$151.36	$257.04