Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $1,862.09 / $5,623.41	Facility		$478.63	$1,862.09	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $316.23 / $676.08	Professional		$239.88	$316.23	$676.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $4,786.30 / $6,456.54	Facility		$2,951.21	$4,786.30	$6,456.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $446.68 / $630.96	Professional		$331.13	$446.68	$630.96
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 $251.19 / $398.11 / $588.84	Professional		$251.19	$398.11	$588.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $501.19 / $1,258.93	Professional		$309.03	$501.19	$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 $331.13 / $346.74 / $436.52	Professional		$331.13	$346.74	$436.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $380.19	Professional		$32.36	$33.11	$380.19
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 $234.42 / $323.59 / $575.44	Professional		$234.42	$323.59	$575.44