Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $1,584.89 / $3,162.28	Facility		$117.49	$1,584.89	$3,162.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,737.80	Professional		$1,584.89	$1,584.89	$1,737.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $208.93 / $275.42	Facility		$165.96	$208.93	$275.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Professional		$2,089.30	$2,089.30	$2,089.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Facility		$1,584.89	$1,584.89	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,905.46	Professional		$1,584.89	$1,584.89	$1,905.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $1,905.46 / $3,019.95	Professional		$346.74	$1,905.46	$3,019.95
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 $2,089.30 / $2,089.30 / $2,089.30	Professional		$2,089.30	$2,089.30	$2,089.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $33.11	Professional		$30.20	$30.20	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,090.30 / $3,090.30	Facility		$1,862.09	$3,090.30	$3,090.30
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $1,862.09 / $2,511.89	Professional		$125.89	$1,862.09	$2,511.89