Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $2,290.87 / $5,623.41	Facility		$295.12	$2,290.87	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $112.20 / $245.47	Professional		$93.33	$112.20	$245.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,818.38 / $4,786.30	Facility		$1,071.52	$2,818.38	$4,786.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $151.36 / $190.55	Professional		$128.82	$151.36	$190.55
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 $97.72 / $158.49 / $275.42	Professional		$97.72	$158.49	$275.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $199.53 / $562.34	Professional		$114.82	$199.53	$562.34
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 $117.49 / $134.90 / $151.36	Professional		$117.49	$134.90	$151.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $147.91	Professional		$32.36	$33.11	$147.91
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 $93.33 / $125.89 / $218.78	Professional		$93.33	$125.89	$218.78