Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $1,621.81 / $7,762.47	Facility		$338.84	$1,621.81	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $346.74 / $794.33	Professional		$269.15	$346.74	$794.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $426.58 / $6,918.31	Facility		$316.23	$426.58	$6,918.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $524.81 / $691.83	Professional		$380.19	$524.81	$691.83
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 $288.40 / $436.52 / $660.69	Professional		$288.40	$436.52	$660.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $537.03 / $1,258.93	Professional		$338.84	$537.03	$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 $380.19 / $398.11 / $467.74	Professional		$380.19	$398.11	$467.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $416.87	Professional		$32.36	$33.11	$416.87
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 $275.42 / $371.54 / $645.65	Professional		$275.42	$371.54	$645.65