Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,862.09 / $5,888.44	Facility		$724.44	$1,862.09	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $524.81 / $1,122.02	Professional		$436.52	$524.81	$1,122.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $426.58 / $11,220.18	Facility		$316.23	$426.58	$11,220.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $851.14 / $1,047.13	Professional		$616.60	$851.14	$1,047.13
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 $489.78 / $724.44 / $1,071.52	Professional		$489.78	$724.44	$1,071.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $870.96 / $2,187.76	Professional		$549.54	$870.96	$2,187.76
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 $602.56 / $645.65 / $724.44	Professional		$602.56	$645.65	$724.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $616.60	Professional		$32.36	$33.11	$616.60
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 $457.09 / $602.56 / $1,047.13	Professional		$457.09	$602.56	$1,047.13