Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $362.74 / $1,159.00 / $5,091.00	Facility		$362.74	$1,159.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.74 / $398.49 / $579.85	Professional		$316.74	$398.49	$579.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $411.32 / $3,344.52 / $7,294.82	Facility		$411.32	$3,344.52	$7,294.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $367.61 / $530.99 / $577.88	Professional		$367.61	$530.99	$577.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $319.11 / $451.55 / $640.77	Professional		$319.11	$451.55	$640.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $300.27 / $494.16 / $1,149.97	Professional		$300.27	$494.16	$1,149.97
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 $389.26 / $390.36 / $434.82	Professional		$389.26	$390.36	$434.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $491.69	Professional		$32.34	$32.34	$491.69
United Facility/Professional Facility Modifier Low / Median / High Price $158.00 / $916.00 / $3,592.00	Facility		$158.00	$916.00	$3,592.00
United Facility/Professional Professional Modifier Low / Median / High Price $303.12 / $403.13 / $680.32	Professional		$303.12	$403.13	$680.32