Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $3,235.94 / $9,772.37	Facility		$630.96	$3,235.94	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $186.21 / $288.40	Professional		$112.20	$186.21	$288.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $354.81 / $426.58	Facility		$316.23	$354.81	$426.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $512.86	Professional		$416.87	$416.87	$512.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $398.11 / $616.60	Professional		$245.47	$398.11	$616.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $489.78 / $660.69	Professional		$346.74	$489.78	$660.69
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $537.03	Professional		$489.78	$489.78	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $4,265.80 / $8,128.31	Facility		$199.53	$4,265.80	$8,128.31
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $346.74 / $549.54	Professional		$245.47	$346.74	$549.54