Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $3,235.94 / $9,772.37	Facility		$316.23	$3,235.94	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $194.98 / $331.13	Professional		$158.49	$194.98	$331.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,819.70 / $3,548.13	Facility		$676.08	$1,819.70	$3,548.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $234.42 / $275.42	Professional		$194.98	$234.42	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $245.47 / $338.84	Professional		$173.78	$245.47	$338.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $275.42 / $831.76	Professional		$173.78	$275.42	$831.76
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 / $204.17 / $229.09	Professional		$177.83	$204.17	$229.09
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 $169.82 / $239.88 / $380.19	Professional		$169.82	$239.88	$380.19