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 / $5,623.41	Facility		$316.23	$1,862.09	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $288.40 / $562.34	Professional		$144.54	$288.40	$562.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,318.26 / $3,311.31	Facility		$1,096.48	$1,318.26	$3,311.31
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 $165.96 / $309.03 / $562.34	Professional		$165.96	$309.03	$562.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $467.74 / $1,071.52	Professional		$199.53	$467.74	$1,071.52
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 $190.55 / $199.53 / $426.58	Professional		$190.55	$199.53	$426.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $398.11	Professional		$32.36	$32.36	$398.11
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 $165.96 / $316.23 / $588.84	Professional		$165.96	$316.23	$588.84