Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $332.38 / $1,694.00 / $5,389.00	Facility		$332.38	$1,694.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.54 / $219.06 / $433.52	Professional		$151.54	$219.06	$433.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,559.15 / $3,420.83 / $4,863.03	Facility		$1,559.15	$3,420.83	$4,863.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $219.05 / $310.60 / $443.83	Professional		$219.05	$310.60	$443.83
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 $175.20 / $273.77 / $446.44	Professional		$175.20	$273.77	$446.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $202.56 / $359.28 / $811.63	Professional		$202.56	$359.28	$811.63
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 $209.39 / $227.40 / $360.48	Professional		$209.39	$227.40	$360.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $415.94	Professional		$32.34	$32.34	$415.94
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $3,951.00 / $6,625.00	Facility		$1,600.00	$3,951.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $206.79 / $310.92 / $541.41	Professional		$206.79	$310.92	$541.41