Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $1,995.26 / $7,762.47	Facility		$239.88	$1,995.26	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $117.49 / $223.87	Professional		$97.72	$117.49	$223.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,288.25 / $1,862.09	Facility		$707.95	$1,288.25	$1,862.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $144.54 / $186.21	Professional		$120.23	$144.54	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $870.96 / $1,000.00	Facility		$302.00	$870.96	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $154.88 / $251.19	Professional		$107.15	$154.88	$251.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $199.53 / $436.52	Professional		$120.23	$199.53	$436.52
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 $123.03 / $131.83 / $144.54	Professional		$123.03	$131.83	$144.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $125.89	Professional		$32.36	$33.11	$125.89
United Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $2,187.76 / $4,570.88	Facility		$776.25	$2,187.76	$4,570.88
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $138.04 / $223.87	Professional		$102.33	$138.04	$223.87