Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.27 / $287.07 / $479.91	Facility		$136.27	$287.07	$479.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.97 / $275.14 / $350.35	Professional		$151.97	$275.14	$350.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $674.16 / $1,163.58 / $6,480.26	Facility		$674.16	$1,163.58	$6,480.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.23 / $186.91 / $299.85	Professional		$89.23	$186.91	$299.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.68 / $516.78 / $795.70	Professional		$257.68	$516.78	$795.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $180.94 / $287.95 / $982.86	Professional		$180.94	$287.95	$982.86
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 $190.22 / $192.28 / $207.96	Professional		$190.22	$192.28	$207.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $94.57 / $217.56	Professional		$32.34	$94.57	$217.56
United Facility/Professional Facility Modifier Low / Median / High Price $6,167.71 / $6,167.71 / $7,002.43	Facility		$6,167.71	$6,167.71	$7,002.43
United Facility/Professional Professional Modifier Low / Median / High Price $173.82 / $253.64 / $537.95	Professional		$173.82	$253.64	$537.95