Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $1,862.09 / $5,888.44	Facility		$331.13	$1,862.09	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $269.15 / $524.81	Professional		$162.18	$269.15	$524.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $812.83 / $2,570.40	Facility		$407.38	$812.83	$2,570.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $338.84 / $562.34	Professional		$218.78	$338.84	$562.34
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 $186.21 / $302.00 / $501.19	Professional		$186.21	$302.00	$501.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $416.87 / $1,318.26	Professional		$229.09	$416.87	$1,318.26
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 $208.93 / $229.09 / $389.05	Professional		$208.93	$229.09	$389.05
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 $177.83 / $275.42 / $478.63	Professional		$177.83	$275.42	$478.63