Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $1,862.09 / $5,623.41	Facility		$478.63	$1,862.09	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $323.59 / $645.65	Professional		$213.80	$323.59	$645.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $2,238.72 / $3,630.78	Facility		$933.25	$2,238.72	$3,630.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $371.54 / $549.54	Professional		$257.04	$371.54	$549.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $1,000.00 / $1,288.25	Facility		$302.00	$1,000.00	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $371.54 / $691.83	Professional		$234.42	$371.54	$691.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $501.19 / $1,513.56	Professional		$281.84	$501.19	$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 $269.15 / $275.42 / $436.52	Professional		$269.15	$275.42	$436.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $446.68	Professional		$32.36	$33.11	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,238.72 / $4,677.35	Facility		$891.25	$2,238.72	$4,677.35
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $363.08 / $602.56	Professional		$239.88	$363.08	$602.56