Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $1,862.09 / $5,623.41	Facility		$316.23	$1,862.09	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $204.17 / $407.38	Professional		$158.49	$204.17	$407.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $426.58 / $3,715.35	Facility		$316.23	$426.58	$3,715.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $288.40 / $398.11	Professional		$208.93	$288.40	$398.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Facility		$234.42	$234.42	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $257.04 / $389.05	Professional		$177.83	$257.04	$389.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $323.59 / $645.65	Professional		$208.93	$323.59	$645.65
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 $218.78 / $223.87 / $269.15	Professional		$218.78	$223.87	$269.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $208.93	Professional		$32.36	$32.36	$208.93
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 $165.96 / $229.09 / $371.54	Professional		$165.96	$229.09	$371.54