Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $322.51 / $1,411.00 / $4,634.00	Facility		$322.51	$1,411.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.81 / $308.72 / $527.62	Professional		$190.81	$308.72	$527.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,899.43 / $2,612.35 / $4,418.64	Facility		$1,899.43	$2,612.35	$4,418.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $265.95 / $385.03 / $577.37	Professional		$265.95	$385.03	$577.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $226.48 / $353.58 / $576.17	Professional		$226.48	$353.58	$576.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $273.04 / $499.61 / $1,191.47	Professional		$273.04	$499.61	$1,191.47
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 $255.09 / $279.44 / $465.24	Professional		$255.09	$279.44	$465.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $536.82	Professional		$32.34	$32.34	$536.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $2,622.00 / $5,026.00	Facility		$1,183.00	$2,622.00	$5,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $313.89 / $434.74 / $757.25	Professional		$313.89	$434.74	$757.25