Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $1,819.70 / $5,623.41	Facility		$331.13	$1,819.70	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $316.23 / $645.65	Professional		$147.91	$316.23	$645.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $2,290.87 / $4,466.84	Facility		$851.14	$2,290.87	$4,466.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $346.74 / $691.83	Professional		$169.82	$346.74	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $309.03 / $562.34	Professional		$169.82	$309.03	$562.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $407.38 / $2,187.76	Professional		$181.97	$407.38	$2,187.76
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 $147.91 / $173.78 / $371.54	Professional		$147.91	$173.78	$371.54
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 $151.36 / $831.76 / $2,630.27	Facility		$151.36	$831.76	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $316.23 / $630.96	Professional		$158.49	$316.23	$630.96