Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.01 / $1,842.00 / $5,389.00	Facility		$331.01	$1,842.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.75 / $171.12 / $357.23	Professional		$151.75	$171.12	$357.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $273.41 / $1,663.32 / $3,627.92	Facility		$273.41	$1,663.32	$3,627.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.77 / $260.85 / $314.63	Professional		$218.77	$260.85	$314.63
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 $188.28 / $298.83 / $455.43	Professional		$188.28	$298.83	$455.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $184.48 / $312.51 / $1,573.85	Professional		$184.48	$312.51	$1,573.85
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 $195.92 / $228.35 / $253.92	Professional		$195.92	$228.35	$253.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $287.12	Professional		$32.34	$32.34	$287.12
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 $165.70 / $266.35 / $474.89	Professional		$165.70	$266.35	$474.89