Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $342.91 / $1,316.03 / $5,405.00	Facility		$342.91	$1,316.03	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.46 / $732.63 / $1,409.18	Professional		$197.46	$732.63	$1,409.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,179.36 / $2,511.37 / $3,920.65	Facility		$1,179.36	$2,511.37	$3,920.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $230.67 / $695.94 / $1,312.01	Professional		$230.67	$695.94	$1,312.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $875.00 / $1,681.46	Facility		$300.00	$875.00	$1,681.46
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $274.70 / $274.70 / $274.70	Facility	52	$274.70	$274.70	$274.70
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $68.68 / $68.68 / $68.68	Facility	53	$68.68	$68.68	$68.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $231.27 / $526.78 / $1,553.15	Professional		$231.27	$526.78	$1,553.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $273.47 / $1,105.58 / $2,176.46	Professional		$273.47	$1,105.58	$2,176.46
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 $237.90 / $253.31 / $1,043.06	Professional		$237.90	$253.31	$1,043.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,179.45	Professional		$32.34	$32.34	$1,179.45
United Facility/Professional Facility Modifier Low / Median / High Price $815.00 / $2,588.00 / $4,780.00	Facility		$815.00	$2,588.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $920.56 / $1,383.95 / $2,127.37	Professional		$920.56	$1,383.95	$2,127.37