Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,862.09 / $5,623.41	Facility		$537.03	$1,862.09	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $501.19 / $1,096.48	Professional		$407.38	$501.19	$1,096.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $426.58 / $10,000.00	Facility		$316.23	$426.58	$10,000.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $776.25 / $1,000.00	Professional		$549.54	$776.25	$1,000.00
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 $446.68 / $645.65 / $977.24	Professional		$446.68	$645.65	$977.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $776.25 / $1,819.70	Professional		$524.81	$776.25	$1,819.70
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 $549.54 / $575.44 / $691.83	Professional		$549.54	$575.44	$691.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $602.56	Professional		$32.36	$33.11	$602.56
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 $416.87 / $549.54 / $954.99	Professional		$416.87	$549.54	$954.99