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 $172.38 / $205.28 / $298.38	Professional		$172.38	$205.28	$298.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $733.81 / $875.46 / $1,129.43	Facility		$733.81	$875.46	$1,129.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $220.20 / $220.20 / $268.07	Professional		$220.20	$220.20	$268.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $431.50 / $431.50 / $431.50	Professional		$431.50	$431.50	$431.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $188.60 / $250.91 / $415.30	Professional		$188.60	$250.91	$415.30
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 $221.88 / $224.95 / $248.92	Professional		$221.88	$224.95	$248.92
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 $711.00 / $1,905.00 / $4,342.00	Facility		$711.00	$1,905.00	$4,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $181.52 / $323.70 / $744.56	Professional		$181.52	$323.70	$744.56