Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,862.09 / $5,623.41	Facility		$407.38	$1,862.09	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $251.19 / $549.54	Professional		$199.53	$251.19	$549.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $426.58 / $5,370.32	Facility		$316.23	$426.58	$5,370.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $407.38 / $501.19	Professional		$295.12	$407.38	$501.19
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 $218.78 / $323.59 / $478.63	Professional		$218.78	$323.59	$478.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $398.11 / $1,548.82	Professional		$257.04	$398.11	$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 $295.12 / $309.03 / $346.74	Professional		$295.12	$309.03	$346.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $302.00	Professional		$32.36	$33.11	$302.00
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 $204.17 / $269.15 / $467.74	Professional		$204.17	$269.15	$467.74