Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $242.60 / $1,603.45 / $5,389.00	Facility		$242.60	$1,603.45	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.35 / $470.18 / $1,097.94	Professional		$108.35	$470.18	$1,097.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $840.96 / $1,211.47 / $2,424.63	Facility		$840.96	$1,211.47	$2,424.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.59 / $214.49 / $814.23	Professional		$143.59	$214.49	$814.23
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 $150.00 / $471.71 / $1,161.91	Professional		$150.00	$471.71	$1,161.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $173.07 / $839.92 / $2,112.79	Professional		$173.07	$839.92	$2,112.79
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 $147.72 / $155.68 / $792.56	Professional		$147.72	$155.68	$792.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $914.49	Professional		$32.34	$32.34	$914.49
United Facility/Professional Facility Modifier Low / Median / High Price $553.00 / $1,763.00 / $4,342.00	Facility		$553.00	$1,763.00	$4,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $725.00 / $1,118.59 / $1,888.35	Professional		$725.00	$1,118.59	$1,888.35