Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $2,344.23 / $7,762.47	Facility		$630.96	$2,344.23	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $128.82 / $208.93	Professional		$112.20	$128.82	$208.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,995.26 / $2,691.53	Facility		$933.25	$1,995.26	$2,691.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $204.17 / $204.17	Professional		$138.04	$204.17	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $588.84 / $1,288.25	Facility		$398.11	$588.84	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $173.78 / $331.13	Professional		$114.82	$173.78	$331.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $91.20 / $645.65	Professional		$38.90	$91.20	$645.65
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 $40.74 / $41.69 / $45.71	Professional		$40.74	$41.69	$45.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $41.69 / $2,511.89	Professional		$39.81	$41.69	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,238.72 / $4,677.35	Facility		$891.25	$2,238.72	$4,677.35
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $151.36 / $251.19	Professional		$114.82	$151.36	$251.19