Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $3,801.89 / $12,882.50	Facility		$380.19	$3,801.89	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $346.74 / $630.96	Professional		$208.93	$346.74	$630.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $4,265.80 / $5,623.41	Facility		$2,089.30	$4,265.80	$5,623.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $380.19 / $616.60	Professional		$251.19	$380.19	$616.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,148.15 / $2,691.53	Facility		$912.01	$1,148.15	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $363.08 / $660.69	Professional		$223.87	$363.08	$660.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $562.34 / $1,348.96	Professional		$275.42	$562.34	$1,348.96
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 $263.03 / $275.42 / $501.19	Professional		$263.03	$275.42	$501.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $478.63	Professional		$32.36	$33.11	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,548.13 / $7,585.78	Facility		$1,096.48	$3,548.13	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $331.13 / $575.44	Professional		$213.80	$331.13	$575.44