Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $310.08 / $2,079.00 / $8,108.37	Facility		$310.08	$2,079.00	$8,108.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.98 / $298.80 / $652.54	Professional		$209.98	$298.80	$652.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,936.57 / $2,719.24 / $4,983.25	Facility		$1,936.57	$2,719.24	$4,983.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $300.87 / $383.44 / $544.73	Professional		$300.87	$383.44	$544.73
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 $219.00 / $354.11 / $549.50	Professional		$219.00	$354.11	$549.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $273.70 / $456.17 / $890.13	Professional		$273.70	$456.17	$890.13
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 $293.35 / $315.19 / $439.10	Professional		$293.35	$315.19	$439.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $496.52	Professional		$32.34	$32.34	$496.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $2,622.00 / $5,026.00	Facility		$1,183.00	$2,622.00	$5,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $270.43 / $391.74 / $688.13	Professional		$270.43	$391.74	$688.13