Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $1,621.81 / $5,623.41	Facility		$102.33	$1,621.81	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $85.11 / $154.88	Professional		$52.48	$85.11	$154.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $229.09 / $1,412.54	Facility		$169.82	$229.09	$1,412.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $123.03 / $190.55	Professional		$64.57	$123.03	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $100.00 / $158.49	Professional		$60.26	$100.00	$158.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $128.82 / $316.23	Professional		$72.44	$128.82	$316.23
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 $63.10 / $67.61 / $117.49	Professional		$63.10	$67.61	$117.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $691.83 / $2,187.76	Facility		$107.15	$691.83	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $93.33 / $158.49	Professional		$58.88	$93.33	$158.49