Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $294.33 / $1,758.00 / $5,389.00	Facility		$294.33	$1,758.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.69 / $190.95 / $358.84	Professional		$140.69	$190.95	$358.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,650.94 / $3,658.33 / $5,513.06	Facility		$1,650.94	$3,658.33	$5,513.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $202.89 / $280.55 / $464.15	Professional		$202.89	$280.55	$464.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $3,072.73 / $3,430.33	Facility		$709.00	$3,072.73	$3,430.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.19 / $273.91 / $413.53	Professional		$181.19	$273.91	$413.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $229.43 / $343.46 / $565.16	Professional		$229.43	$343.46	$565.16
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 $200.97 / $213.04 / $318.93	Professional		$200.97	$213.04	$318.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $360.64	Professional		$32.34	$32.34	$360.64
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $4,530.00 / $8,566.00	Facility		$1,600.00	$4,530.00	$8,566.00
United Facility/Professional Professional Modifier Low / Median / High Price $192.51 / $261.20 / $459.31	Professional		$192.51	$261.20	$459.31