Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $1,819.70 / $5,623.41	Facility		$257.04	$1,819.70	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $158.49 / $371.54	Professional		$125.89	$158.49	$371.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $426.58 / $3,311.31	Facility		$316.23	$426.58	$3,311.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $257.04 / $309.03	Professional		$181.97	$257.04	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $208.93 / $316.23	Professional		$141.25	$208.93	$316.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $251.19 / $1,318.26	Professional		$162.18	$251.19	$1,318.26
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 $186.21 / $190.55 / $213.80	Professional		$186.21	$190.55	$213.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $194.98	Professional		$32.36	$32.36	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $724.44 / $2,187.76	Facility		$158.49	$724.44	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $169.82 / $302.00	Professional		$125.89	$169.82	$302.00