Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $1,148.15 / $7,762.47	Facility		$89.13	$1,148.15	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $93.33 / $309.03	Professional		$56.23	$93.33	$309.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $302.00 / $1,148.15	Facility		$251.19	$302.00	$1,148.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $112.20 / $173.78	Professional		$70.79	$112.20	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $104.71 / $169.82	Professional		$64.57	$104.71	$169.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $138.04 / $363.08	Professional		$79.43	$138.04	$363.08
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 $66.07 / $72.44 / $125.89	Professional		$66.07	$72.44	$125.89
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 / $691.83 / $2,187.76	Facility		$158.49	$691.83	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $97.72 / $165.96	Professional		$64.57	$97.72	$165.96