Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.90 / $142.76 / $154.28	Facility		$71.90	$142.76	$154.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.25 / $71.90 / $142.76	Professional		$65.25	$71.90	$142.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $522.53 / $779.99 / $1,563.25	Facility		$522.53	$779.99	$1,563.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.26 / $103.83 / $148.10	Professional		$77.26	$103.83	$148.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $82.75 / $125.00 / $334.40	Professional		$82.75	$125.00	$334.40
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 $84.47 / $90.48 / $97.80	Professional		$84.47	$90.48	$97.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $102.31 / $112.85	Professional		$40.00	$102.31	$112.85
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 $74.93 / $105.84 / $168.95	Professional		$74.93	$105.84	$168.95