Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $324.95 / $1,229.00 / $4,961.00	Facility		$324.95	$1,229.00	$4,961.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.12 / $353.55 / $634.94	Professional		$232.12	$353.55	$634.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $842.29 / $2,367.82 / $5,164.53	Facility		$842.29	$2,367.82	$5,164.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.52 / $453.16 / $661.36	Professional		$309.52	$453.16	$661.36
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 $269.85 / $409.83 / $668.23	Professional		$269.85	$409.83	$668.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $317.79 / $569.41 / $1,469.25	Professional		$317.79	$569.41	$1,469.25
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 $305.99 / $328.89 / $528.74	Professional		$305.99	$328.89	$528.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $610.08	Professional		$32.34	$32.34	$610.08
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $963.00 / $3,686.00	Facility		$165.00	$963.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $354.58 / $496.42 / $863.09	Professional		$354.58	$496.42	$863.09