Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $1,621.81 / $5,623.41	Facility		$363.08	$1,621.81	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $323.59 / $616.60	Professional		$190.55	$323.59	$616.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,238.72 / $3,388.44	Facility		$575.44	$2,238.72	$3,388.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $436.52 / $588.84	Facility		$398.11	$436.52	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $346.74 / $616.60	Professional		$199.53	$346.74	$616.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $537.03 / $1,230.27	Professional		$251.19	$537.03	$1,230.27
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 $239.88 / $257.04 / $478.63	Professional		$239.88	$257.04	$478.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $512.86	Professional		$32.36	$33.11	$512.86
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 $190.55 / $316.23 / $562.34	Professional		$190.55	$316.23	$562.34