Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $264.20 / $1,569.50 / $4,451.93	Facility		$264.20	$1,569.50	$4,451.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.91 / $676.00 / $1,312.38	Professional		$131.91	$676.00	$1,312.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $687.01 / $1,367.96 / $2,640.61	Facility		$687.01	$1,367.96	$2,640.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.76 / $662.63 / $1,144.11	Professional		$153.76	$662.63	$1,144.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $230.35 / $864.62 / $1,000.00	Facility		$230.35	$864.62	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.24 / $355.52 / $1,402.83	Professional		$154.24	$355.52	$1,402.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $182.76 / $1,014.86 / $2,151.15	Professional		$182.76	$1,014.86	$2,151.15
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 $158.51 / $169.70 / $959.18	Professional		$158.51	$169.70	$959.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,084.60	Professional		$32.34	$32.34	$1,084.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $2,427.00 / $4,636.00	Facility		$1,183.00	$2,427.00	$4,636.00
United Facility/Professional Professional Modifier Low / Median / High Price $832.66 / $1,185.15 / $1,867.16	Professional		$832.66	$1,185.15	$1,867.16