Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $1,737.80 / $5,623.41	Facility		$251.19	$1,737.80	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $275.42 / $524.81	Professional		$144.54	$275.42	$524.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $812.83 / $2,951.21	Facility		$660.69	$812.83	$2,951.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $323.59 / $549.54	Professional		$177.83	$323.59	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $288.40 / $524.81	Professional		$154.88	$288.40	$524.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $416.87 / $776.25	Professional		$173.78	$416.87	$776.25
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 $177.83 / $181.97 / $407.38	Professional		$177.83	$181.97	$407.38
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 $144.54 / $275.42 / $501.19	Professional		$144.54	$275.42	$501.19