Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $1,621.81 / $5,623.41	Facility		$186.21	$1,621.81	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $125.89 / $239.88	Professional		$97.72	$125.89	$239.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $389.05 / $2,290.87	Facility		$309.03	$389.05	$2,290.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $204.17 / $257.04	Professional		$117.49	$204.17	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $162.18 / $239.88	Professional		$109.65	$162.18	$239.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $199.53 / $645.65	Professional		$125.89	$199.53	$645.65
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 $114.82 / $123.03 / $169.82	Professional		$114.82	$123.03	$169.82
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 $158.49 / $707.95 / $2,187.76	Facility		$158.49	$707.95	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $151.36 / $251.19	Professional		$107.15	$151.36	$251.19