Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $262.48 / $2,989.00 / $5,549.00	Facility		$262.48	$2,989.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.51 / $259.45 / $600.86	Professional		$196.51	$259.45	$600.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $301.05 / $301.05 / $411.96	Professional		$301.05	$301.05	$411.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $297.22 / $587.00 / $908.00	Facility		$297.22	$587.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $246.73 / $389.13 / $516.22	Professional		$246.73	$389.13	$516.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $282.87 / $405.99 / $3,465.43	Professional		$282.87	$405.99	$3,465.43
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 $295.64 / $300.43 / $343.30	Professional		$295.64	$300.43	$343.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Facility Modifier Low / Median / High Price $557.00 / $2,873.00 / $6,625.00	Facility		$557.00	$2,873.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $203.83 / $285.07 / $488.34	Professional		$203.83	$285.07	$488.34