Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $3,090.30 / $8,511.38	Facility		$257.04	$3,090.30	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $162.18 / $309.03	Professional		$134.90	$162.18	$309.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,548.82 / $2,951.21	Facility		$575.44	$1,548.82	$2,951.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $194.98 / $229.09	Professional		$165.96	$194.98	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $208.93 / $346.74	Professional		$144.54	$208.93	$346.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $234.42 / $630.96	Professional		$144.54	$234.42	$630.96
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 $144.54 / $169.82 / $190.55	Professional		$144.54	$169.82	$190.55
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 $575.44 / $2,884.03 / $7,413.10	Facility		$575.44	$2,884.03	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $213.80 / $354.81	Professional		$138.04	$213.80	$354.81