Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $250.21 / $1,411.00 / $5,389.00	Facility		$250.21	$1,411.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.29 / $210.46 / $378.57	Professional		$132.29	$210.46	$378.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.75 / $1,366.75 / $2,981.06	Facility		$549.75	$1,366.75	$2,981.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.24 / $263.63 / $393.10	Professional		$179.24	$263.63	$393.10
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 $155.28 / $243.60 / $402.62	Professional		$155.28	$243.60	$402.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $187.89 / $329.19 / $648.04	Professional		$187.89	$329.19	$648.04
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 $184.07 / $191.33 / $313.42	Professional		$184.07	$191.33	$313.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $354.40	Professional		$32.34	$32.34	$354.40
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 $203.58 / $285.13 / $497.25	Professional		$203.58	$285.13	$497.25