Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,862.09 / $7,762.47	Facility		$537.03	$1,862.09	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $354.81 / $741.31	Professional		$263.03	$354.81	$741.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $478.63 / $6,309.57	Facility		$371.54	$478.63	$6,309.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $512.86 / $758.58	Professional		$323.59	$512.86	$758.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $616.60 / $1,621.81	Professional		$363.08	$616.60	$1,621.81
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 / $562.34	Professional		$338.84	$407.38	$562.34
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 / $457.09 / $776.25	Professional		$323.59	$457.09	$776.25