Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $2,041.74 / $7,762.47	Facility		$295.12	$2,041.74	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $165.96 / $363.08	Professional		$141.25	$165.96	$363.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,511.89 / $3,311.31	Facility		$1,258.93	$2,511.89	$3,311.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $208.93 / $371.54	Professional		$173.78	$208.93	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $588.84 / $2,187.76	Facility		$398.11	$588.84	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $218.78 / $338.84	Professional		$158.49	$218.78	$338.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $676.08 / $1,174.90	Professional		$169.82	$676.08	$1,174.90
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 $177.83 / $190.55 / $208.93	Professional		$177.83	$190.55	$208.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $190.55	Professional		$32.36	$33.11	$190.55
United Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,238.72 / $4,786.30	Facility		$891.25	$2,238.72	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $204.17 / $323.59	Professional		$144.54	$204.17	$323.59