Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.48 / $157.87 / $170.10	Facility		$78.48	$157.87	$170.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.50 / $78.48 / $157.87	Professional		$71.50	$78.48	$157.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $524.08 / $806.64 / $1,706.41	Facility		$524.08	$806.64	$1,706.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.18 / $114.26 / $163.78	Professional		$81.18	$114.26	$163.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $90.31 / $133.38 / $1,562.88	Professional		$90.31	$133.38	$1,562.88
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 $93.20 / $99.09 / $106.73	Professional		$93.20	$99.09	$106.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $111.66 / $123.15	Professional		$40.00	$111.66	$123.15
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $900.00 / $3,686.00	Facility		$165.00	$900.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $82.65 / $110.18 / $187.88	Professional		$82.65	$110.18	$187.88