Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $1,995.26 / $7,762.47	Facility		$281.84	$1,995.26	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $134.90 / $269.15	Professional		$114.82	$134.90	$269.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,548.82 / $2,951.21	Facility		$575.44	$1,548.82	$2,951.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $190.55 / $251.19	Professional		$147.91	$190.55	$251.19
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 $125.89 / $186.21 / $295.12	Professional		$125.89	$186.21	$295.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $275.42 / $691.83	Professional		$154.88	$275.42	$691.83
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 $154.88 / $162.18 / $173.78	Professional		$154.88	$162.18	$173.78
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 $141.25 / $831.76 / $2,630.27	Facility		$141.25	$831.76	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $169.82 / $288.40	Professional		$125.89	$169.82	$288.40