Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $1,949.84 / $2,818.38	Facility		$117.49	$1,949.84	$2,818.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $2,187.76	Professional		$1,949.84	$1,949.84	$2,187.76
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 $2,290.87 / $2,290.87 / $2,290.87	Professional		$2,290.87	$2,290.87	$2,290.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Facility		$1,949.84	$1,949.84	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $2,041.74	Professional		$1,949.84	$1,949.84	$2,041.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $1,148.15 / $2,570.40	Professional		$346.74	$1,148.15	$2,570.40
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 $2,570.40 / $2,570.40 / $2,570.40	Professional		$2,570.40	$2,570.40	$2,570.40
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 $2,238.72 / $4,466.84 / $4,466.84	Facility		$2,238.72	$4,466.84	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $1,905.46 / $2,238.72	Professional		$125.89	$1,905.46	$2,238.72