Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $3,090.30 / $8,511.38	Facility		$128.82	$3,090.30	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $89.13 / $229.09	Professional		$67.61	$89.13	$229.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,096.48 / $2,089.30	Facility		$407.38	$1,096.48	$2,089.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $144.54 / $147.91	Professional		$79.43	$144.54	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $100.00 / $144.54	Professional		$72.44	$100.00	$144.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $112.20 / $512.86	Professional		$74.13	$112.20	$512.86
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 $81.28 / $85.11 / $89.13	Professional		$81.28	$85.11	$89.13
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 $67.61 / $100.00 / $154.88	Professional		$67.61	$100.00	$154.88