Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,862.09 / $5,888.44	Facility		$645.65	$1,862.09	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $457.09 / $954.99	Professional		$331.13	$457.09	$954.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $426.58 / $9,120.11	Facility		$316.23	$426.58	$9,120.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $691.83 / $933.25	Professional		$501.19	$691.83	$933.25
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 $371.54 / $575.44 / $851.14	Professional		$371.54	$575.44	$851.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $724.44 / $1,513.56	Professional		$467.74	$724.44	$1,513.56
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 $489.78 / $524.81 / $645.65	Professional		$489.78	$524.81	$645.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $169.82	Professional		$32.36	$32.36	$169.82
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 $338.84 / $467.74 / $776.25	Professional		$338.84	$467.74	$776.25