Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $1,862.09 / $5,623.41	Facility		$186.21	$1,862.09	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $154.88 / $302.00	Professional		$89.13	$154.88	$302.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,047.13 / $2,137.96	Facility		$870.96	$1,047.13	$2,137.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $181.97 / $288.40	Professional		$123.03	$181.97	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Facility		$724.44	$724.44	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $173.78 / $288.40	Professional		$107.15	$173.78	$288.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $263.03 / $891.25	Professional		$138.04	$263.03	$891.25
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 $114.82 / $125.89 / $213.80	Professional		$114.82	$125.89	$213.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,479.11 / $3,715.35	Facility		$575.44	$1,479.11	$3,715.35
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $173.78 / $295.12	Professional		$104.71	$173.78	$295.12