Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,862.09 / $5,623.41	Facility		$549.54	$1,862.09	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $524.81 / $977.24	Professional		$346.74	$524.81	$977.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $4,677.35 / $6,760.83	Facility		$2,089.30	$4,677.35	$6,760.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $616.60 / $912.01	Professional		$416.87	$616.60	$912.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $1,000.00 / $2,691.53	Facility		$302.00	$1,000.00	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $549.54 / $1,023.29	Professional		$363.08	$549.54	$1,023.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $831.76 / $2,089.30	Professional		$446.68	$831.76	$2,089.30
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 $426.58 / $446.68 / $724.44	Professional		$426.58	$446.68	$724.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $707.95	Professional		$32.36	$33.11	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,691.53 / $5,128.61	Facility		$891.25	$2,691.53	$5,128.61
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $537.03 / $891.25	Professional		$363.08	$537.03	$891.25