Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,584.89 / $2,754.23	Facility		$602.56	$1,584.89	$2,754.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $478.63 / $933.25	Professional		$371.54	$478.63	$933.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,513.56 / $6,165.95	Facility		$741.31	$1,513.56	$6,165.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $436.52 / $602.56	Professional		$169.82	$436.52	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $275.42 / $812.83	Facility		$234.42	$275.42	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $562.34 / $1,122.02	Professional		$380.19	$562.34	$1,122.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $1,023.29 / $2,238.72	Professional		$389.05	$1,023.29	$2,238.72
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 $446.68 / $457.09 / $489.78	Professional		$446.68	$457.09	$489.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $457.09 / $1,318.26	Facility		$162.18	$457.09	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $660.69 / $1,096.48	Professional		$426.58	$660.69	$1,096.48