Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,862.09 / $5,888.44	Facility		$616.60	$1,862.09	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $446.68 / $912.01	Professional		$302.00	$446.68	$912.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $4,786.30 / $7,079.46	Facility		$3,467.37	$4,786.30	$7,079.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $562.34 / $912.01	Professional		$407.38	$562.34	$912.01
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 $354.81 / $562.34 / $870.96	Professional		$354.81	$562.34	$870.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $724.44 / $1,621.81	Professional		$436.52	$724.44	$1,621.81
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 $398.11 / $426.58 / $630.96	Professional		$398.11	$426.58	$630.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $524.81	Professional		$32.36	$33.11	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,630.78 / $7,585.78	Facility		$1,513.56	$3,630.78	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $501.19 / $851.14	Professional		$331.13	$501.19	$851.14