Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $1,862.09 / $8,709.64	Facility		$316.23	$1,862.09	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $239.88 / $831.76	Professional		$177.83	$239.88	$831.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,445.44 / $19,952.62	Facility		$1,148.15	$1,445.44	$19,952.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Professional		$1,621.81	$1,621.81	$1,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,890.45 / $3,890.45	Facility		$2,454.71	$3,890.45	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $316.23 / $489.78	Professional		$213.80	$316.23	$489.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $371.54 / $2,884.03	Professional		$239.88	$371.54	$2,884.03
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 $229.09 / $251.19 / $331.13	Professional		$229.09	$251.19	$331.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,479.11 / $3,801.89	Facility		$660.69	$1,479.11	$3,801.89
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $281.84 / $501.19	Professional		$208.93	$281.84	$501.19