Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $1,621.81 / $5,623.41	Facility		$147.91	$1,621.81	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $95.50 / $169.82	Professional		$72.44	$95.50	$169.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $489.78 / $1,548.82	Facility		$407.38	$489.78	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $109.65 / $173.78	Professional		$74.13	$109.65	$173.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $123.03 / $446.68	Professional		$70.79	$123.03	$446.68
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 $85.11 / $87.10 / $112.20	Professional		$85.11	$87.10	$112.20
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 / $758.58 / $2,187.76	Facility		$151.36	$758.58	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $97.72 / $162.18	Professional		$72.44	$97.72	$162.18