Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $1,862.09 / $5,888.44	Facility		$190.55	$1,862.09	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $158.49 / $316.23	Professional		$104.71	$158.49	$316.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $354.81 / $1,819.70	Facility		$257.04	$354.81	$1,819.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $186.21 / $263.03	Professional		$125.89	$186.21	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $1,288.25	Facility		$398.11	$398.11	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $177.83 / $338.84	Professional		$109.65	$177.83	$338.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $251.19 / $758.58	Professional		$134.90	$251.19	$758.58
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 $131.83 / $134.90 / $213.80	Professional		$131.83	$134.90	$213.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $213.80	Professional		$32.36	$33.11	$213.80
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $691.83 / $2,187.76	Facility		$158.49	$691.83	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $162.18 / $275.42	Professional		$107.15	$162.18	$275.42