Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $1,862.09 / $5,623.41	Facility		$208.93	$1,862.09	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $186.21 / $363.08	Professional		$81.28	$186.21	$363.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $2,818.38 / $4,786.30	Facility		$870.96	$2,818.38	$4,786.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $213.80 / $371.54	Professional		$104.71	$213.80	$371.54
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 $89.13 / $186.21 / $371.54	Professional		$89.13	$186.21	$371.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $309.03 / $776.25	Professional		$114.82	$309.03	$776.25
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 $95.50 / $109.65 / $275.42	Professional		$95.50	$109.65	$275.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $302.00	Professional		$32.36	$33.11	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,290.87 / $5,128.61	Facility		$891.25	$2,290.87	$5,128.61
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $165.96 / $309.03	Professional		$81.28	$165.96	$309.03