Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $1,621.81 / $5,623.41	Facility		$257.04	$1,621.81	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $208.93 / $457.09	Professional		$89.13	$208.93	$457.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,513.56 / $12,022.64	Facility		$1,148.15	$1,513.56	$12,022.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $269.15 / $457.09	Professional		$123.03	$269.15	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Facility		$933.25	$933.25	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $223.87 / $436.52	Professional		$109.65	$223.87	$436.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $416.87 / $1,258.93	Professional		$151.36	$416.87	$1,258.93
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 $125.89 / $131.83 / $346.74	Professional		$125.89	$131.83	$346.74
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 $724.44 / $1,479.11 / $3,715.35	Facility		$724.44	$1,479.11	$3,715.35
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $218.78 / $416.87	Professional		$104.71	$218.78	$416.87