Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $1,737.80 / $5,888.44	Facility		$478.63	$1,737.80	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $398.11 / $758.58	Professional		$251.19	$398.11	$758.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,398.83 / $5,754.40	Facility		$1,995.26	$2,398.83	$5,754.40
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 $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 $281.84 / $436.52 / $707.95	Professional		$281.84	$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 $331.13 / $338.84 / $537.03	Professional		$331.13	$338.84	$537.03
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 $1,318.26 / $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 $269.15 / $407.38 / $707.95	Professional		$269.15	$407.38	$707.95