Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $343.53 / $1,696.00 / $5,389.00	Facility		$343.53	$1,696.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.41 / $244.04 / $501.79	Professional		$159.41	$244.04	$501.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,560.51 / $2,280.10 / $3,630.21	Facility		$1,560.51	$2,280.10	$3,630.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.18 / $307.14 / $444.66	Professional		$218.18	$307.14	$444.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $620.00 / $643.00	Facility		$620.00	$620.00	$643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $196.08 / $279.67 / $460.48	Professional		$196.08	$279.67	$460.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $219.36 / $367.56 / $795.00	Professional		$219.36	$367.56	$795.00
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 $218.04 / $230.67 / $356.46	Professional		$218.04	$230.67	$356.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $403.07	Professional		$32.34	$32.34	$403.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,250.00 / $2,374.00 / $4,780.00	Facility		$1,250.00	$2,374.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $240.58 / $336.81 / $586.32	Professional		$240.58	$336.81	$586.32