Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $1,862.09 / $8,511.38	Facility		$257.04	$1,862.09	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $234.42 / $478.63	Professional		$128.82	$234.42	$478.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $660.69 / $2,041.74	Facility		$363.08	$660.69	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $263.03 / $457.09	Professional		$151.36	$263.03	$457.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $389.05 / $851.14	Professional		$186.21	$389.05	$851.14
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 $169.82 / $181.97 / $371.54	Professional		$169.82	$181.97	$371.54
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 / $724.44 / $2,187.76	Facility		$158.49	$724.44	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $239.88 / $426.58	Professional		$141.25	$239.88	$426.58