Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $2,344.23 / $7,762.47	Facility		$741.31	$2,344.23	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $177.83 / $316.23	Professional		$109.65	$177.83	$316.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,288.25 / $1,548.82	Facility		$1,148.15	$1,288.25	$1,548.82
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 $213.80 / $213.80 / $389.05	Professional		$213.80	$213.80	$389.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $263.03 / $398.11	Professional		$186.21	$263.03	$398.11
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 $229.09 / $229.09 / $251.19	Professional		$229.09	$229.09	$251.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $288.40	Professional		$263.03	$263.03	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,445.44 / $3,715.35	Facility		$660.69	$1,445.44	$3,715.35
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $213.80 / $354.81	Professional		$158.49	$213.80	$354.81