Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $2,187.76 / $5,888.44	Facility		$251.19	$2,187.76	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $128.82 / $275.42	Professional		$100.00	$128.82	$275.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,513.56 / $2,884.03	Facility		$549.54	$1,513.56	$2,884.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $190.55 / $218.78	Professional		$144.54	$190.55	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $169.82 / $245.47	Professional		$117.49	$169.82	$245.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $199.53 / $537.03	Professional		$131.83	$199.53	$537.03
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 $131.83 / $147.91 / $162.18	Professional		$131.83	$147.91	$162.18
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 $151.36 / $851.14 / $2,630.27	Facility		$151.36	$851.14	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $151.36 / $251.19	Professional		$109.65	$151.36	$251.19