Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $2,137.96 / $7,762.47	Facility		$275.42	$2,137.96	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $218.78 / $457.09	Professional		$147.91	$218.78	$457.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $4,265.80 / $5,623.41	Facility		$1,778.28	$4,265.80	$5,623.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $281.84 / $467.74	Professional		$204.17	$281.84	$467.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility		$3,090.30	$3,090.30	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $263.03 / $398.11	Professional		$173.78	$263.03	$398.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $354.81 / $602.56	Professional		$218.78	$354.81	$602.56
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 $199.53 / $213.80 / $316.23	Professional		$199.53	$213.80	$316.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $316.23	Professional		$32.36	$32.36	$316.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $4,365.16 / $8,912.51	Facility		$1,778.28	$4,365.16	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $223.87 / $380.19	Professional		$154.88	$223.87	$380.19