Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $372.96 / $1,471.00 / $5,389.00	Facility		$372.96	$1,471.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.28 / $289.52 / $558.20	Professional		$197.28	$289.52	$558.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,915.76 / $2,469.34 / $4,456.63	Facility		$1,915.76	$2,469.34	$4,456.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.58 / $367.07 / $531.94	Professional		$269.58	$367.07	$531.94
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 $220.69 / $351.02 / $547.27	Professional		$220.69	$351.02	$547.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $267.27 / $444.43 / $910.36	Professional		$267.27	$444.43	$910.36
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 $269.61 / $285.20 / $426.02	Professional		$269.61	$285.20	$426.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $481.73	Professional		$32.34	$32.34	$481.73
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 $272.29 / $391.62 / $688.68	Professional		$272.29	$391.62	$688.68