Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,862.09 / $5,623.41	Facility		$407.38	$1,862.09	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $380.19 / $758.58	Professional		$204.17	$380.19	$758.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,348.96 / $3,467.37	Facility		$851.14	$1,348.96	$3,467.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $407.38 / $537.03	Professional		$239.88	$407.38	$537.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $831.76 / $1,000.00	Facility		$302.00	$831.76	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $407.38 / $794.33	Professional		$218.78	$407.38	$794.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $616.60 / $1,698.24	Professional		$281.84	$616.60	$1,698.24
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 $245.47 / $263.03 / $537.03	Professional		$245.47	$263.03	$537.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $588.84	Professional		$32.36	$33.11	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $2,187.76 / $4,570.88	Facility		$758.58	$2,187.76	$4,570.88
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $398.11 / $724.44	Professional		$218.78	$398.11	$724.44