Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $272.58 / $1,094.00 / $5,389.00	Facility		$272.58	$1,094.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.54 / $259.10 / $497.78	Professional		$175.54	$259.10	$497.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,766.81 / $2,313.88 / $4,110.13	Facility		$1,766.81	$2,313.88	$4,110.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $246.13 / $342.12 / $496.49	Professional		$246.13	$342.12	$496.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.56 / $320.30 / $508.38	Professional		$198.56	$320.30	$508.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $242.80 / $412.24 / $761.85	Professional		$242.80	$412.24	$761.85
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 $248.63 / $261.00 / $397.07	Professional		$248.63	$261.00	$397.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $449.00	Professional		$32.34	$32.34	$449.00
United Facility/Professional Facility Modifier Low / Median / High Price $828.00 / $1,753.00 / $4,256.00	Facility		$828.00	$1,753.00	$4,256.00
United Facility/Professional Professional Modifier Low / Median / High Price $254.51 / $353.60 / $638.71	Professional		$254.51	$353.60	$638.71