Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $1,862.09 / $5,623.41	Facility		$323.59	$1,862.09	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $257.04 / $489.78	Professional		$169.82	$257.04	$489.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $776.25 / $3,019.95	Facility		$588.84	$776.25	$3,019.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $295.12 / $436.52	Professional		$208.93	$295.12	$436.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $467.74 / $1,000.00	Facility		$302.00	$467.74	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $288.40 / $512.86	Professional		$186.21	$288.40	$512.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $398.11 / $1,096.48	Professional		$223.87	$398.11	$1,096.48
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 $213.80 / $223.87 / $346.74	Professional		$213.80	$223.87	$346.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $346.74	Professional		$32.36	$33.11	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $758.58 / $2,187.76	Facility		$165.96	$758.58	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $269.15 / $446.68	Professional		$181.97	$269.15	$446.68