Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,122.02 / $5,623.41	Facility		$436.52	$1,122.02	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $457.09 / $977.24	Professional		$354.81	$457.09	$977.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $426.58 / $8,709.64	Facility		$316.23	$426.58	$8,709.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $660.69 / $891.25	Professional		$478.63	$660.69	$891.25
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 $389.05 / $562.34 / $851.14	Professional		$389.05	$562.34	$851.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $691.83 / $1,698.24	Professional		$446.68	$691.83	$1,698.24
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 $467.74 / $501.19 / $602.56	Professional		$467.74	$501.19	$602.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $549.54	Professional		$32.36	$33.11	$549.54
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 $371.54 / $489.78 / $831.76	Professional		$371.54	$489.78	$831.76