Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.45 / $1,278.00 / $5,389.00	Facility		$217.45	$1,278.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.96 / $204.61 / $383.51	Professional		$133.96	$204.61	$383.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $843.45 / $1,393.62 / $3,039.67	Facility		$843.45	$1,393.62	$3,039.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.04 / $267.02 / $394.37	Professional		$183.04	$267.02	$394.37
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 $159.30 / $250.00 / $406.08	Professional		$159.30	$250.00	$406.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $191.65 / $330.26 / $628.76	Professional		$191.65	$330.26	$628.76
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 $185.69 / $193.79 / $316.11	Professional		$185.69	$193.79	$316.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $357.45	Professional		$32.34	$32.34	$357.45
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 $201.67 / $296.08 / $509.76	Professional		$201.67	$296.08	$509.76