Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $523.22 / $2,989.00 / $5,549.00	Facility		$523.22	$2,989.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.13 / $186.69 / $303.98	Professional		$120.13	$186.69	$303.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,067.26 / $1,273.28 / $1,642.66	Facility		$1,067.26	$1,273.28	$1,642.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.40 / $214.24 / $246.55	Professional		$185.40	$214.24	$246.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $929.98 / $929.98 / $1,038.21	Facility		$929.98	$929.98	$1,038.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $231.75 / $245.66 / $439.54	Professional		$231.75	$245.66	$439.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $212.63 / $300.14 / $482.38	Professional		$212.63	$300.14	$482.38
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 $249.15 / $251.29 / $278.70	Professional		$249.15	$251.29	$278.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Facility Modifier Low / Median / High Price $807.00 / $1,753.00 / $4,256.00	Facility		$807.00	$1,753.00	$4,256.00
United Facility/Professional Professional Modifier Low / Median / High Price $178.44 / $260.50 / $420.52	Professional		$178.44	$260.50	$420.52