Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $1,621.81 / $5,623.41	Facility		$331.13	$1,621.81	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $446.68 / $912.01	Professional		$138.04	$446.68	$912.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $2,187.76 / $4,265.80	Facility		$812.83	$2,187.76	$4,265.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $501.19 / $933.25	Professional		$169.82	$501.19	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $380.19 / $851.14	Professional		$162.18	$380.19	$851.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $676.08 / $1,737.80	Professional		$190.55	$676.08	$1,737.80
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 $162.18 / $177.83 / $630.96	Professional		$162.18	$177.83	$630.96
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 / $851.14 / $2,630.27	Facility		$151.36	$851.14	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $512.86 / $1,071.52	Professional		$169.82	$512.86	$1,071.52