Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,380.38 / $5,623.41	Facility		$436.52	$1,380.38	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $338.84 / $724.44	Professional		$269.15	$338.84	$724.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $426.58 / $6,606.93	Facility		$316.23	$426.58	$6,606.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $501.19 / $691.83	Professional		$363.08	$501.19	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $436.52 / $645.65	Professional		$288.40	$436.52	$645.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $537.03 / $1,258.93	Professional		$346.74	$537.03	$1,258.93
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 $363.08 / $380.19 / $478.63	Professional		$363.08	$380.19	$478.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $416.87	Professional		$32.36	$33.11	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $724.44 / $2,187.76	Facility		$158.49	$724.44	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $363.08 / $616.60	Professional		$269.15	$363.08	$616.60