Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $350.86 / $1,017.00 / $5,389.00	Facility		$350.86	$1,017.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.15 / $314.99 / $568.91	Professional		$190.15	$314.99	$568.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.75 / $1,938.74 / $4,228.63	Facility		$549.75	$1,938.74	$4,228.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $252.77 / $374.59 / $599.03	Professional		$252.77	$374.59	$599.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $219.22 / $352.04 / $594.54	Professional		$219.22	$352.04	$594.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $252.32 / $480.13 / $991.37	Professional		$252.32	$480.13	$991.37
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 $256.63 / $268.31 / $480.06	Professional		$256.63	$268.31	$480.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $542.84	Professional		$32.34	$32.34	$542.84
United Facility/Professional Facility Modifier Low / Median / High Price $204.00 / $814.00 / $3,685.00	Facility		$204.00	$814.00	$3,685.00
United Facility/Professional Professional Modifier Low / Median / High Price $306.32 / $440.00 / $751.31	Professional		$306.32	$440.00	$751.31