Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $429.98 / $702.37 / $5,091.00	Facility		$429.98	$702.37	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $326.73 / $393.03 / $702.37	Professional		$326.73	$393.03	$702.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $330.07 / $4,213.60 / $9,190.40	Facility		$330.07	$4,213.60	$9,190.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $474.52 / $656.15 / $870.07	Professional		$474.52	$656.15	$870.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $250.87 / $250.87 / $280.07	Facility		$250.87	$250.87	$280.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $373.14 / $571.91 / $809.12	Professional		$373.14	$571.91	$809.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $441.92 / $663.18 / $1,231.47	Professional		$441.92	$663.18	$1,231.47
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 $470.28 / $493.96 / $601.05	Professional		$470.28	$493.96	$601.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $679.65	Professional		$32.34	$32.34	$679.65
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $891.00 / $3,685.00	Facility		$165.00	$891.00	$3,685.00
United Facility/Professional Professional Modifier Low / Median / High Price $346.59 / $475.74 / $813.90	Professional		$346.59	$475.74	$813.90