Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $1,862.09 / $5,888.44	Facility		$245.47	$1,862.09	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $208.93 / $380.19	Professional		$125.89	$208.93	$380.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $309.03 / $2,691.53	Facility		$245.47	$309.03	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $239.88 / $380.19	Professional		$147.91	$239.88	$380.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $302.00 / $776.25	Professional		$169.82	$302.00	$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 $158.49 / $169.82 / $281.84	Professional		$158.49	$169.82	$281.84
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 / $691.83 / $2,187.76	Facility		$158.49	$691.83	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $223.87 / $389.05	Professional		$141.25	$223.87	$389.05