Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $1,862.09 / $5,623.41	Facility		$245.47	$1,862.09	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $173.78 / $354.81	Professional		$123.03	$173.78	$354.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,344.23 / $3,090.30	Facility		$1,412.54	$2,344.23	$3,090.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $213.80 / $338.84	Professional		$154.88	$213.80	$338.84
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 $141.25 / $208.93 / $323.59	Professional		$141.25	$208.93	$323.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $269.15 / $707.95	Professional		$169.82	$269.15	$707.95
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 $158.49 / $165.96 / $234.42	Professional		$158.49	$165.96	$234.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $218.78	Professional		$32.36	$32.36	$218.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,290.87 / $4,786.30	Facility		$1,096.48	$2,290.87	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $190.55 / $316.23	Professional		$131.83	$190.55	$316.23