Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $314.66 / $2,933.00 / $8,107.78	Facility		$314.66	$2,933.00	$8,107.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.12 / $205.98 / $383.48	Professional		$173.12	$205.98	$383.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,304.05 / $3,347.72 / $5,442.83	Facility		$1,304.05	$3,347.72	$5,442.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $231.46 / $276.52 / $344.40	Professional		$231.46	$276.52	$344.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $226.54 / $875.00 / $2,713.32	Facility		$226.54	$875.00	$2,713.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.39 / $285.60 / $410.00	Professional		$199.39	$285.60	$410.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $222.13 / $325.95 / $811.95	Professional		$222.13	$325.95	$811.95
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 $240.16 / $249.26 / $275.02	Professional		$240.16	$249.26	$275.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $310.98	Professional		$32.34	$32.34	$310.98
United Facility/Professional Facility Modifier Low / Median / High Price $1,098.00 / $3,951.00 / $6,482.00	Facility		$1,098.00	$3,951.00	$6,482.00
United Facility/Professional Professional Modifier Low / Median / High Price $185.38 / $262.45 / $425.76	Professional		$185.38	$262.45	$425.76