Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $1,862.09 / $5,888.44	Facility		$281.84	$1,862.09	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $213.80 / $457.09	Professional		$151.36	$213.80	$457.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $831.76 / $3,630.78	Facility		$691.83	$831.76	$3,630.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $346.74 / $436.52	Professional		$204.17	$346.74	$436.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Facility		$537.03	$537.03	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $251.19 / $380.19	Professional		$158.49	$251.19	$380.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $331.13 / $1,023.29	Professional		$190.55	$331.13	$1,023.29
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 $208.93 / $213.80 / $295.12	Professional		$208.93	$213.80	$295.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $257.04	Professional		$32.36	$33.11	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $758.58 / $2,187.76	Facility		$158.49	$758.58	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $213.80 / $363.08	Professional		$147.91	$213.80	$363.08