Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $2,290.87 / $7,762.47	Facility		$416.87	$2,290.87	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $323.59 / $645.65	Professional		$218.78	$323.59	$645.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $707.95 / $4,786.30	Facility		$524.81	$707.95	$4,786.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $398.11 / $630.96	Professional		$245.47	$398.11	$630.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $512.86 / $2,089.30	Professional		$288.40	$512.86	$2,089.30
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 $295.12 / $323.59 / $512.86	Professional		$295.12	$323.59	$512.86
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 $158.49 / $758.58 / $2,187.76	Facility		$158.49	$758.58	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $354.81 / $660.69	Professional		$229.09	$354.81	$660.69