Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $1,862.09 / $5,623.41	Facility		$218.78	$1,862.09	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $194.98 / $380.19	Professional		$95.50	$194.98	$380.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $2,818.38 / $4,786.30	Facility		$1,023.29	$2,818.38	$4,786.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $213.80 / $363.08	Professional		$123.03	$213.80	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $2,511.89 / $2,754.23	Facility		$302.00	$2,511.89	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $199.53 / $389.05	Professional		$104.71	$199.53	$389.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $323.59 / $851.14	Professional		$134.90	$323.59	$851.14
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 $114.82 / $131.83 / $288.40	Professional		$114.82	$131.83	$288.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $316.23	Professional		$32.36	$33.11	$316.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,467.37 / $6,760.83	Facility		$1,096.48	$3,467.37	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $181.97 / $331.13	Professional		$95.50	$181.97	$331.13