Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,862.09 / $5,888.44	Facility		$562.34	$1,862.09	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $436.52 / $851.14	Professional		$281.84	$436.52	$851.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,398.83 / $6,456.54	Facility		$1,995.26	$2,398.83	$6,456.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $512.86 / $870.96	Professional		$363.08	$512.86	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Facility		$524.81	$524.81	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $501.19 / $812.83	Professional		$323.59	$501.19	$812.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $676.08 / $1,258.93	Professional		$389.05	$676.08	$1,258.93
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 $371.54 / $380.19 / $588.84	Professional		$371.54	$380.19	$588.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $478.63	Professional		$32.36	$33.11	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $3,548.13 / $6,165.95	Facility		$1,318.26	$3,548.13	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $467.74 / $794.33	Professional		$309.03	$467.74	$794.33