Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,862.09 / $5,623.41	Facility		$524.81	$1,862.09	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $323.59 / $676.08	Professional		$257.04	$323.59	$676.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $426.58 / $6,606.93	Facility		$316.23	$426.58	$6,606.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $501.19 / $645.65	Professional		$363.08	$501.19	$645.65
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 $281.84 / $416.87 / $616.60	Professional		$281.84	$416.87	$616.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $501.19 / $1,548.82	Professional		$323.59	$501.19	$1,548.82
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 $354.81 / $380.19 / $446.68	Professional		$354.81	$380.19	$446.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $380.19	Professional		$32.36	$33.11	$380.19
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 $263.03 / $346.74 / $616.60	Professional		$263.03	$346.74	$616.60