Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $1,621.81 / $5,623.41	Facility		$398.11	$1,621.81	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $338.84 / $645.65	Professional		$213.80	$338.84	$645.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $2,238.72 / $3,801.89	Facility		$512.86	$2,238.72	$3,801.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $316.23 / $478.63	Professional		$263.03	$316.23	$478.63
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 $229.09 / $371.54 / $645.65	Professional		$229.09	$371.54	$645.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $512.86 / $741.31	Professional		$281.84	$512.86	$741.31
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 $263.03 / $281.84 / $478.63	Professional		$263.03	$281.84	$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 $229.09 / $346.74 / $575.44	Professional		$229.09	$346.74	$575.44