Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $1,513.56 / $5,623.41	Facility		$398.11	$1,513.56	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $398.11 / $741.31	Professional		$239.88	$398.11	$741.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $4,786.30 / $6,165.95	Facility		$2,754.23	$4,786.30	$6,165.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $467.74 / $794.33	Professional		$316.23	$467.74	$794.33
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 $275.42 / $436.52 / $707.95	Professional		$275.42	$436.52	$707.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $616.60 / $1,122.02	Professional		$346.74	$616.60	$1,122.02
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 $323.59 / $331.13 / $549.54	Professional		$323.59	$331.13	$549.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $436.52	Professional		$32.36	$33.11	$436.52
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 $263.03 / $407.38 / $724.44	Professional		$263.03	$407.38	$724.44