Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $1,380.38 / $2,454.71	Facility		$117.49	$1,380.38	$2,454.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,659.59	Professional		$1,380.38	$1,380.38	$1,659.59
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 $1,819.70 / $1,819.70 / $1,819.70	Professional		$1,819.70	$1,819.70	$1,819.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Facility		$1,380.38	$1,380.38	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,819.70	Professional		$1,380.38	$1,380.38	$1,819.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $1,380.38 / $1,949.84	Professional		$181.97	$1,380.38	$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 $1,819.70 / $1,819.70 / $1,819.70	Professional		$1,819.70	$1,819.70	$1,819.70
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 $1,621.81 / $2,630.27 / $2,630.27	Facility		$1,621.81	$2,630.27	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $1,621.81 / $1,949.84	Professional		$125.89	$1,621.81	$1,949.84