Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $1,621.81 / $5,623.41	Facility		$338.84	$1,621.81	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $288.40 / $524.81	Professional		$181.97	$288.40	$524.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $2,238.72 / $3,235.94	Facility		$524.81	$2,238.72	$3,235.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $316.23 / $489.78	Professional		$213.80	$316.23	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $416.87 / $1,000.00	Facility		$302.00	$416.87	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $302.00 / $537.03	Professional		$181.97	$302.00	$537.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $446.68 / $1,174.90	Professional		$208.93	$446.68	$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 $229.09 / $234.42 / $398.11	Professional		$229.09	$234.42	$398.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $416.87	Professional		$32.36	$33.11	$416.87
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 $173.78 / $269.15 / $489.78	Professional		$173.78	$269.15	$489.78