Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,187.76 / $5,888.44	Facility		$724.44	$2,187.76	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $416.87 / $812.83	Professional		$295.12	$416.87	$812.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,951.21 / $6,918.31	Facility		$2,398.83	$2,951.21	$6,918.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility		$1,819.70	$1,819.70	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $489.78 / $776.25	Professional		$338.84	$489.78	$776.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $562.34 / $1,862.09	Professional		$354.81	$562.34	$1,862.09
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 $407.38 / $416.87 / $457.09	Professional		$407.38	$416.87	$457.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $63.10	Professional		$32.36	$32.36	$63.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,290.87 / $4,786.30	Facility		$1,096.48	$2,290.87	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $467.74 / $776.25	Professional		$323.59	$467.74	$776.25