Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $1,862.09 / $5,623.41	Facility		$295.12	$1,862.09	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $218.78 / $489.78	Professional		$79.43	$218.78	$489.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,258.93 / $1,737.80	Facility		$724.44	$1,258.93	$1,737.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $281.84 / $478.63	Professional		$104.71	$281.84	$478.63
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 $91.20 / $213.80 / $478.63	Professional		$91.20	$213.80	$478.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $416.87 / $794.33	Professional		$114.82	$416.87	$794.33
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 $95.50 / $109.65 / $380.19	Professional		$95.50	$109.65	$380.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $426.58	Professional		$32.36	$33.11	$426.58
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 $87.10 / $208.93 / $416.87	Professional		$87.10	$208.93	$416.87