Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $2,137.96 / $6,165.95	Facility		$141.25	$2,137.96	$6,165.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $131.83 / $239.88	Professional		$81.28	$131.83	$239.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $6,309.57 / $8,511.38	Facility		$1,071.52	$6,309.57	$8,511.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $177.83 / $275.42	Professional		$112.20	$177.83	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $158.49 / $257.04	Professional		$102.33	$158.49	$257.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $213.80 / $478.63	Professional		$120.23	$213.80	$478.63
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 $112.20 / $117.49 / $199.53	Professional		$112.20	$117.49	$199.53
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 $1,698.24 / $4,365.16 / $9,772.37	Facility		$1,698.24	$4,365.16	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $128.82 / $234.42	Professional		$87.10	$128.82	$234.42