Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $1,995.26 / $7,762.47	Facility		$478.63	$1,995.26	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $288.40 / $630.96	Professional		$239.88	$288.40	$630.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $3,801.89 / $5,248.07	Facility		$2,041.74	$3,801.89	$5,248.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $588.84	Facility		$398.11	$398.11	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $346.74 / $575.44	Professional		$234.42	$346.74	$575.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $501.19 / $1,659.59	Professional		$275.42	$501.19	$1,659.59
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 $323.59 / $346.74 / $389.05	Professional		$323.59	$346.74	$389.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $407.38	Professional		$32.36	$33.11	$407.38
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 $218.78 / $302.00 / $524.81	Professional		$218.78	$302.00	$524.81