Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $2,137.96 / $5,623.41	Facility		$346.74	$2,137.96	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $354.81 / $977.24	Professional		$114.82	$354.81	$977.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,621.81 / $2,238.72	Facility		$933.25	$1,621.81	$2,238.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $380.19 / $630.96	Professional		$131.83	$380.19	$630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $1,698.24 / $2,754.23	Facility		$302.00	$1,698.24	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $295.12 / $851.14	Professional		$131.83	$295.12	$851.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $645.65 / $912.01	Professional		$158.49	$645.65	$912.01
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 $138.04 / $144.54 / $616.60	Professional		$138.04	$144.54	$616.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $691.83	Professional		$32.36	$33.11	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $2,238.72 / $4,570.88	Facility		$831.76	$2,238.72	$4,570.88
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $245.47 / $851.14	Professional		$123.03	$245.47	$851.14