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 $316.23 / $407.38 / $870.96	Professional		$316.23	$407.38	$870.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $426.58 / $8,128.31	Facility		$316.23	$426.58	$8,128.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $616.60 / $812.83	Professional		$446.68	$616.60	$812.83
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 $354.81 / $512.86 / $776.25	Professional		$354.81	$512.86	$776.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $630.96 / $1,659.59	Professional		$407.38	$630.96	$1,659.59
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 $446.68 / $467.74 / $562.34	Professional		$446.68	$467.74	$562.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $478.63	Professional		$32.36	$33.11	$478.63
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 $331.13 / $436.52 / $758.58	Professional		$331.13	$436.52	$758.58