Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $1,862.09 / $5,623.41	Facility		$331.13	$1,862.09	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $181.97 / $407.38	Professional		$147.91	$181.97	$407.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $2,238.72 / $4,265.80	Facility		$831.76	$2,238.72	$4,265.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $275.42 / $323.59	Professional		$208.93	$275.42	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $257.04 / $380.19	Professional		$181.97	$257.04	$380.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $295.12 / $812.83	Professional		$181.97	$295.12	$812.83
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 $194.98 / $218.78 / $239.88	Professional		$194.98	$218.78	$239.88
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 $177.83 / $239.88 / $389.05	Professional		$177.83	$239.88	$389.05