Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $397.77 / $870.26 / $5,389.00	Facility		$397.77	$870.26	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.09 / $416.74 / $813.69	Professional		$189.09	$416.74	$813.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,186.36 / $2,848.31 / $5,140.60	Facility		$2,186.36	$2,848.31	$5,140.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $262.31 / $573.41 / $1,074.59	Professional		$262.31	$573.41	$1,074.59
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 $218.79 / $409.74 / $924.22	Professional		$218.79	$409.74	$924.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $285.35 / $742.28 / $1,398.08	Professional		$285.35	$742.28	$1,398.08
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 $238.99 / $270.88 / $747.08	Professional		$238.99	$270.88	$747.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $844.78	Professional		$32.34	$32.34	$844.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,095.00 / $2,588.00 / $4,780.00	Facility		$1,095.00	$2,588.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $401.05 / $581.52 / $1,011.42	Professional		$401.05	$581.52	$1,011.42