Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $1,862.09 / $5,623.41	Facility		$426.58	$1,862.09	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $257.04 / $575.44	Professional		$204.17	$257.04	$575.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,398.83 / $5,370.32	Facility		$1,995.26	$2,398.83	$5,370.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $416.87 / $501.19	Professional		$302.00	$416.87	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility		$1,621.81	$1,621.81	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $323.59 / $501.19	Professional		$223.87	$323.59	$501.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $407.38 / $1,047.13	Professional		$257.04	$407.38	$1,047.13
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 $295.12 / $309.03 / $346.74	Professional		$295.12	$309.03	$346.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $295.12	Professional		$32.36	$33.11	$295.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,290.87 / $4,677.35	Facility		$1,096.48	$2,290.87	$4,677.35
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $275.42 / $478.63	Professional		$208.93	$275.42	$478.63