Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $391.79 / $1,591.15 / $4,961.00	Facility		$391.79	$1,591.15	$4,961.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.00 / $720.71 / $1,270.21	Professional		$198.00	$720.71	$1,270.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $863.85 / $1,978.85 / $3,930.68	Facility		$863.85	$1,978.85	$3,930.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $232.30 / $738.30 / $1,245.13	Professional		$232.30	$738.30	$1,245.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $348.15 / $875.00 / $1,231.60	Facility		$348.15	$875.00	$1,231.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.63 / $527.52 / $1,493.92	Professional		$227.63	$527.52	$1,493.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $275.41 / $1,049.24 / $2,539.62	Professional		$275.41	$1,049.24	$2,539.62
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 $244.52 / $255.67 / $988.64	Professional		$244.52	$255.67	$988.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,117.92	Professional		$32.34	$32.34	$1,117.92
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 $856.09 / $1,274.73 / $1,975.54	Professional		$856.09	$1,274.73	$1,975.54