Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $333.00 / $1,159.00 / $5,389.00	Facility		$333.00	$1,159.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.66 / $307.35 / $598.07	Professional		$238.66	$307.35	$598.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.75 / $2,462.42 / $5,370.88	Facility		$549.75	$2,462.42	$5,370.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $324.70 / $400.68 / $582.42	Professional		$324.70	$400.68	$582.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $463.00 / $480.00	Facility		$463.00	$463.00	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $282.27 / $396.06 / $610.63	Professional		$282.27	$396.06	$610.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $320.32 / $497.49 / $1,027.44	Professional		$320.32	$497.49	$1,027.44
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 $332.72 / $344.08 / $465.04	Professional		$332.72	$344.08	$465.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $525.85	Professional		$32.34	$32.34	$525.85
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 $299.94 / $428.15 / $723.39	Professional		$299.94	$428.15	$723.39