Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,621.81 / $5,623.41	Facility		$537.03	$1,621.81	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $363.08 / $812.83	Professional		$263.03	$363.08	$812.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $478.63 / $6,309.57	Facility		$371.54	$478.63	$6,309.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $524.81 / $724.44	Professional		$398.11	$524.81	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $512.86 / $794.33	Professional		$323.59	$512.86	$794.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $630.96 / $1,659.59	Professional		$363.08	$630.96	$1,659.59
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 $338.84 / $407.38 / $575.44	Professional		$338.84	$407.38	$575.44
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 / $724.44 / $2,187.76	Facility		$158.49	$724.44	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $467.74 / $812.83	Professional		$323.59	$467.74	$812.83