Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.58 / $1,289.00 / $6,759.04	Facility		$269.58	$1,289.00	$6,759.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.13 / $313.95 / $587.66	Professional		$131.13	$313.95	$587.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,449.44 / $2,229.44 / $3,371.84	Facility		$1,449.44	$2,229.44	$3,371.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.88 / $351.98 / $669.20	Professional		$172.88	$351.98	$669.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $1,378.17 / $1,538.56	Facility		$463.00	$1,378.17	$1,538.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.01 / $332.15 / $633.85	Professional		$164.01	$332.15	$633.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $202.61 / $479.52 / $1,139.25	Professional		$202.61	$479.52	$1,139.25
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 $173.73 / $181.65 / $461.76	Professional		$173.73	$181.65	$461.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $522.14	Professional		$32.34	$32.34	$522.14
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 $342.02 / $489.94 / $786.29	Professional		$342.02	$489.94	$786.29