Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $277.94 / $1,272.00 / $5,937.70	Facility		$277.94	$1,272.00	$5,937.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.49 / $204.89 / $373.22	Professional		$128.49	$204.89	$373.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $843.45 / $1,364.19 / $2,921.74	Facility		$843.45	$1,364.19	$2,921.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.06 / $256.77 / $382.02	Professional		$176.06	$256.77	$382.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $463.00 / $480.00	Facility		$463.00	$463.00	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.58 / $235.77 / $379.33	Professional		$150.58	$235.77	$379.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $173.68 / $318.07 / $553.54	Professional		$173.68	$318.07	$553.54
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 $178.56 / $186.37 / $306.29	Professional		$178.56	$186.37	$306.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $346.35	Professional		$32.34	$32.34	$346.35
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 $201.13 / $276.55 / $492.40	Professional		$201.13	$276.55	$492.40