Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $1,862.09 / $5,888.44	Facility		$309.03	$1,862.09	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $251.19 / $489.78	Professional		$131.83	$251.19	$489.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $602.56 / $2,691.53	Facility		$478.63	$602.56	$2,691.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $213.80 / $389.05	Professional		$138.04	$213.80	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $281.84 / $489.78	Professional		$154.88	$281.84	$489.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $371.54 / $1,174.90	Professional		$181.97	$371.54	$1,174.90
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 / $363.08	Professional		$158.49	$169.82	$363.08
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 / $741.31 / $2,187.76	Facility		$158.49	$741.31	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $269.15 / $489.78	Professional		$151.36	$269.15	$489.78