Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $438.00 / $1,544.00 / $5,389.00	Facility		$438.00	$1,544.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.61 / $165.91 / $292.82	Professional		$106.61	$165.91	$292.82
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
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 $211.88 / $224.59 / $393.47	Professional		$211.88	$224.59	$393.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $193.42 / $271.70 / $436.68	Professional		$193.42	$271.70	$436.68
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 $227.31 / $227.55 / $252.30	Professional		$227.31	$227.55	$252.30
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 $158.51 / $231.20 / $408.93	Professional		$158.51	$231.20	$408.93