Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,621.81 / $5,623.41	Facility		$467.74	$1,621.81	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $371.54 / $812.83	Professional		$288.40	$371.54	$812.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $426.58 / $7,079.46	Facility		$316.23	$426.58	$7,079.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $537.03 / $724.44	Professional		$389.05	$537.03	$724.44
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 $302.00 / $446.68 / $691.83	Professional		$302.00	$446.68	$691.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $562.34 / $1,258.93	Professional		$346.74	$562.34	$1,258.93
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 $389.05 / $407.38 / $501.19	Professional		$389.05	$407.38	$501.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $446.68	Professional		$32.36	$33.11	$446.68
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 $288.40 / $389.05 / $660.69	Professional		$288.40	$389.05	$660.69