Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $333.41 / $2,781.70 / $2,781.70	Facility		$333.41	$2,781.70	$2,781.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $435.39 / $2,455.19 / $3,269.60	Professional		$435.39	$2,455.19	$3,269.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $610.73 / $1,174.63 / $5,282.44	Facility		$610.73	$1,174.63	$5,282.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.71 / $174.33 / $578.16	Professional		$48.71	$174.33	$578.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $402.22 / $740.17 / $2,075.23	Facility		$402.22	$740.17	$2,075.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $222.91 / $358.15 / $551.01	Professional		$222.91	$358.15	$551.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $349.85 / $527.82 / $1,174.60	Professional		$349.85	$527.82	$1,174.60
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 $360.19 / $367.07 / $459.75	Professional		$360.19	$367.07	$459.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $36.84 / $2,500.00	Professional		$32.34	$36.84	$2,500.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,624.82 / $2,624.82 / $2,811.18	Facility		$2,624.82	$2,624.82	$2,811.18
United Facility/Professional Professional Modifier Low / Median / High Price $307.54 / $1,652.02 / $3,219.09	Professional		$307.54	$1,652.02	$3,219.09