Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $1,862.09 / $5,623.41	Facility		$316.23	$1,862.09	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $245.47 / $489.78	Professional		$102.33	$245.47	$489.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $588.84 / $2,041.74	Facility		$478.63	$588.84	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $239.88 / $467.74	Professional		$120.23	$239.88	$467.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $380.19 / $851.14	Professional		$141.25	$380.19	$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 $125.89 / $128.82 / $363.08	Professional		$125.89	$128.82	$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 $117.49 / $263.03 / $501.19	Professional		$117.49	$263.03	$501.19