Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,862.09 / $5,623.41	Facility		$537.03	$1,862.09	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $407.38 / $870.96	Professional		$316.23	$407.38	$870.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $426.58 / $8,128.31	Facility		$316.23	$426.58	$8,128.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $630.96 / $831.76	Professional		$446.68	$630.96	$831.76
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 $338.84 / $512.86 / $776.25	Professional		$338.84	$512.86	$776.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $645.65 / $1,659.59	Professional		$398.11	$645.65	$1,659.59
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 $446.68 / $467.74 / $575.44	Professional		$446.68	$467.74	$575.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $489.78	Professional		$32.36	$33.11	$489.78
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 $323.59 / $436.52 / $776.25	Professional		$323.59	$436.52	$776.25