Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $1,862.09 / $5,623.41	Facility		$446.68	$1,862.09	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $398.11 / $758.58	Professional		$213.80	$398.11	$758.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,380.38 / $5,011.87	Facility		$1,148.15	$1,380.38	$5,011.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $467.74 / $776.25	Professional		$295.12	$467.74	$776.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Facility		$933.25	$933.25	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $446.68 / $776.25	Professional		$257.04	$446.68	$776.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $691.83 / $1,949.84	Professional		$323.59	$691.83	$1,949.84
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 $288.40 / $309.03 / $575.44	Professional		$288.40	$309.03	$575.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $549.54	Professional		$32.36	$32.36	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,479.11 / $3,801.89	Facility		$724.44	$1,479.11	$3,801.89
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $426.58 / $758.58	Professional		$239.88	$426.58	$758.58