Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $350.64 / $1,305.00 / $5,091.00	Facility		$350.64	$1,305.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.93 / $319.97 / $579.38	Professional		$179.93	$319.97	$579.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $842.29 / $1,931.77 / $4,213.43	Facility		$842.29	$1,931.77	$4,213.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $256.01 / $396.67 / $634.34	Professional		$256.01	$396.67	$634.34
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 $218.77 / $356.55 / $632.22	Professional		$218.77	$356.55	$632.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $252.55 / $507.09 / $991.37	Professional		$252.55	$507.09	$991.37
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 $254.31 / $270.17 / $510.48	Professional		$254.31	$270.17	$510.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $577.24	Professional		$32.34	$32.34	$577.24
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 $286.91 / $427.41 / $785.53	Professional		$286.91	$427.41	$785.53