Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.81 / $1,630.00 / $4,121.00	Facility		$288.81	$1,630.00	$4,121.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.81 / $282.02 / $575.32	Professional		$187.81	$282.02	$575.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,936.57 / $2,504.19 / $4,519.53	Facility		$1,936.57	$2,504.19	$4,519.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $270.14 / $365.77 / $530.25	Professional		$270.14	$365.77	$530.25
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 $241.91 / $351.61 / $545.34	Professional		$241.91	$351.61	$545.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $266.42 / $440.84 / $963.70	Professional		$266.42	$440.84	$963.70
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 $261.39 / $285.88 / $424.52	Professional		$261.39	$285.88	$424.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $489.83	Professional		$32.34	$32.34	$489.83
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 $291.02 / $411.10 / $683.74	Professional		$291.02	$411.10	$683.74