Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $1,995.26 / $7,762.47	Facility		$295.12	$1,995.26	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $158.49 / $257.04	Professional		$97.72	$158.49	$257.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $691.83 / $1,949.84	Facility		$562.34	$691.83	$1,949.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $199.53 / $323.59	Professional		$147.91	$199.53	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $199.53 / $1,122.02	Professional		$112.20	$199.53	$1,122.02
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 / $134.90 / $257.04	Professional		$131.83	$134.90	$257.04
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 $154.88 / $891.25 / $2,344.23	Facility		$154.88	$891.25	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $239.88 / $446.68	Professional		$125.89	$239.88	$446.68