Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $1,862.09 / $8,511.38	Facility		$295.12	$1,862.09	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $281.84 / $549.54	Professional		$162.18	$281.84	$549.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $724.44 / $2,630.27	Facility		$380.19	$724.44	$2,630.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $309.03 / $524.81	Professional		$181.97	$309.03	$524.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $457.09 / $1,174.90	Professional		$218.78	$457.09	$1,174.90
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 $213.80 / $229.09 / $416.87	Professional		$213.80	$229.09	$416.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
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 $173.78 / $275.42 / $501.19	Professional		$173.78	$275.42	$501.19