Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $1,621.81 / $5,623.41	Facility		$154.88	$1,621.81	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $141.25 / $263.03	Professional		$58.88	$141.25	$263.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $676.08 / $1,288.25	Facility		$251.19	$676.08	$1,288.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $151.36 / $229.09	Professional		$69.18	$151.36	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $134.90 / $275.42	Professional		$66.07	$134.90	$275.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $269.15 / $512.86	Professional		$89.13	$269.15	$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 $72.44 / $77.62 / $199.53	Professional		$72.44	$77.62	$199.53
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 $66.07 / $141.25 / $281.84	Professional		$66.07	$141.25	$281.84