Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $1,995.26 / $7,762.47	Facility		$446.68	$1,995.26	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $269.15 / $489.78	Professional		$213.80	$269.15	$489.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,348.96 / $3,801.89	Facility		$933.25	$1,348.96	$3,801.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $588.84 / $954.99	Facility		$398.11	$588.84	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $323.59 / $537.03	Professional		$218.78	$323.59	$537.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $831.76 / $1,412.54	Professional		$251.19	$831.76	$1,412.54
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 $269.15 / $288.40 / $316.23	Professional		$269.15	$288.40	$316.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $281.84	Professional		$32.36	$33.11	$281.84
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 / $309.03 / $489.78	Professional		$218.78	$309.03	$489.78