Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.36 / $1,630.00 / $6,957.28	Facility		$163.36	$1,630.00	$6,957.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.44 / $203.40 / $405.05	Professional		$95.44	$203.40	$405.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $959.35 / $2,125.85 / $5,510.44	Facility		$959.35	$2,125.85	$5,510.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.38 / $223.43 / $418.72	Professional		$113.38	$223.43	$418.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $2,713.32 / $3,029.10	Facility		$620.00	$2,713.32	$3,029.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.10 / $227.51 / $393.98	Professional		$120.10	$227.51	$393.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $136.96 / $313.67 / $1,013.35	Professional		$136.96	$313.67	$1,013.35
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 $111.92 / $120.11 / $287.74	Professional		$111.92	$120.11	$287.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $325.37	Professional		$32.34	$32.34	$325.37
United Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $2,435.00 / $4,780.00	Facility		$1,183.00	$2,435.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $230.60 / $310.73 / $539.00	Professional		$230.60	$310.73	$539.00