Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $1,862.09 / $5,623.41	Facility		$354.81	$1,862.09	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $295.12 / $912.01	Professional		$173.78	$295.12	$912.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,630.27 / $3,630.78	Facility		$1,258.93	$2,630.27	$3,630.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $478.63 / $870.96	Professional		$229.09	$478.63	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $588.84	Facility		$446.68	$446.68	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $316.23 / $870.96	Professional		$186.21	$316.23	$870.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $645.65 / $831.76	Professional		$257.04	$645.65	$831.76
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 $213.80 / $239.88 / $707.95	Professional		$213.80	$239.88	$707.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $741.31	Professional		$32.36	$33.11	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,238.72 / $4,786.30	Facility		$891.25	$2,238.72	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $239.88 / $512.86	Professional		$177.83	$239.88	$512.86