Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $372.16 / $1,411.00 / $5,389.00	Facility		$372.16	$1,411.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.50 / $290.08 / $554.20	Professional		$192.50	$290.08	$554.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,954.81 / $2,612.35 / $4,547.47	Facility		$1,954.81	$2,612.35	$4,547.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $270.50 / $392.14 / $578.66	Professional		$270.50	$392.14	$578.66
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 $233.88 / $368.51 / $576.87	Professional		$233.88	$368.51	$576.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $276.64 / $500.74 / $1,191.04	Professional		$276.64	$500.74	$1,191.04
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 $256.95 / $284.60 / $465.79	Professional		$256.95	$284.60	$465.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $537.45	Professional		$32.34	$32.34	$537.45
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 $288.26 / $423.98 / $726.74	Professional		$288.26	$423.98	$726.74