Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.80 / $1,169.00 / $6,759.04	Facility		$154.80	$1,169.00	$6,759.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.00 / $118.31 / $217.01	Professional		$76.00	$118.31	$217.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $262.12 / $849.40 / $1,975.96	Facility		$262.12	$849.40	$1,975.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.07 / $164.01 / $236.69	Professional		$103.07	$164.01	$236.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.13 / $148.41 / $229.91	Professional		$92.13	$148.41	$229.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $117.87 / $190.61 / $427.78	Professional		$117.87	$190.61	$427.78
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 $98.20 / $107.32 / $171.21	Professional		$98.20	$107.32	$171.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $197.55	Professional		$32.34	$32.34	$197.55
United Facility/Professional Facility Modifier Low / Median / High Price $204.00 / $900.00 / $3,606.00	Facility		$204.00	$900.00	$3,606.00
United Facility/Professional Professional Modifier Low / Median / High Price $117.66 / $165.27 / $260.79	Professional		$117.66	$165.27	$260.79