Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,621.81 / $5,623.41	Facility		$524.81	$1,621.81	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $446.68 / $851.14	Professional		$295.12	$446.68	$851.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $4,466.84 / $6,165.95	Facility		$724.44	$4,466.84	$6,165.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $524.81 / $776.25	Professional		$363.08	$524.81	$776.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $549.54 / $588.84	Facility		$398.11	$549.54	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $478.63 / $851.14	Professional		$309.03	$478.63	$851.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $724.44 / $1,905.46	Professional		$346.74	$724.44	$1,905.46
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 $371.54 / $389.05 / $630.96	Professional		$371.54	$389.05	$630.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $676.08	Professional		$32.36	$33.11	$676.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,467.37 / $7,585.78	Facility		$1,096.48	$3,467.37	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $446.68 / $776.25	Professional		$302.00	$446.68	$776.25