Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $264.00 / $1,609.00 / $5,405.00	Facility		$264.00	$1,609.00	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.93 / $228.46 / $437.78	Professional		$120.93	$228.46	$437.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,229.78 / $2,669.18 / $6,506.50	Facility		$1,229.78	$2,669.18	$6,506.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.55 / $280.20 / $448.09	Professional		$172.55	$280.20	$448.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $11,310.00 / $14,224.00	Facility		$875.00	$11,310.00	$14,224.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.54 / $296.74 / $495.67	Professional		$156.54	$296.74	$495.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $189.00 / $382.74 / $952.47	Professional		$189.00	$382.74	$952.47
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 $167.10 / $181.01 / $362.01	Professional		$167.10	$181.01	$362.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $417.71	Professional		$32.34	$32.34	$417.71
United Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $5,000.00 / $8,995.00	Facility		$1,152.00	$5,000.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $245.11 / $356.10 / $615.16	Professional		$245.11	$356.10	$615.16