Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $339.85 / $2,231.53 / $5,659.02	Facility		$339.85	$2,231.53	$5,659.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.74 / $425.59 / $1,174.49	Professional		$159.74	$425.59	$1,174.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $966.64 / $2,229.44 / $3,451.38	Facility		$966.64	$2,229.44	$3,451.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $206.23 / $701.75 / $1,190.56	Professional		$206.23	$701.75	$1,190.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.73 / $623.91 / $1,400.41	Professional		$211.73	$623.91	$1,400.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $248.56 / $1,016.93 / $2,270.88	Professional		$248.56	$1,016.93	$2,270.88
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 $211.19 / $223.24 / $958.18	Professional		$211.19	$223.24	$958.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,105.58	Professional		$32.34	$32.34	$1,105.58
United Facility/Professional Facility Modifier Low / Median / High Price $749.00 / $2,588.00 / $5,026.00	Facility		$749.00	$2,588.00	$5,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $905.56 / $1,319.28 / $2,003.87	Professional		$905.56	$1,319.28	$2,003.87