Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $1,380.38 / $5,623.41	Facility		$204.17	$1,380.38	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $169.82 / $316.23	Professional		$112.20	$169.82	$316.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $912.01 / $1,778.28	Facility		$489.78	$912.01	$1,778.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $173.78 / $251.19	Professional		$123.03	$173.78	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $190.55 / $302.00	Professional		$125.89	$190.55	$302.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $234.42 / $645.65	Professional		$134.90	$234.42	$645.65
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 $120.23 / $131.83 / $208.93	Professional		$120.23	$131.83	$208.93
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 $512.86 / $1,445.44 / $3,801.89	Facility		$512.86	$1,445.44	$3,801.89
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $186.21 / $323.59	Professional		$120.23	$186.21	$323.59