Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $292.27 / $1,842.00 / $5,389.00	Facility		$292.27	$1,842.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.42 / $151.12 / $315.52	Professional		$125.42	$151.12	$315.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.75 / $1,472.13 / $3,210.92	Facility		$549.75	$1,472.13	$3,210.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.81 / $236.79 / $285.81	Professional		$192.81	$236.79	$285.81
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 $165.96 / $262.00 / $399.65	Professional		$165.96	$262.00	$399.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $162.72 / $275.41 / $1,406.05	Professional		$162.72	$275.41	$1,406.05
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 $173.23 / $201.40 / $223.77	Professional		$173.23	$201.40	$223.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $253.03	Professional		$32.34	$32.34	$253.03
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $1,032.00 / $3,686.00	Facility		$165.00	$1,032.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $147.26 / $250.46 / $392.29	Professional		$147.26	$250.46	$392.29