Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $260.39 / $1,305.00 / $4,200.00	Facility		$260.39	$1,305.00	$4,200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.05 / $473.70 / $1,052.21	Professional		$124.05	$473.70	$1,052.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $843.45 / $1,284.80 / $2,637.72	Facility		$843.45	$1,284.80	$2,637.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.75 / $456.21 / $1,002.64	Professional		$156.75	$456.21	$1,002.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.94 / $385.00 / $1,107.28	Professional		$153.94	$385.00	$1,107.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $167.93 / $808.69 / $1,256.34	Professional		$167.93	$808.69	$1,256.34
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 $157.91 / $168.91 / $808.69	Professional		$157.91	$168.91	$808.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $933.11	Professional		$32.34	$32.34	$933.11
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 $563.04 / $864.20 / $1,304.92	Professional		$563.04	$864.20	$1,304.92