Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $336.76 / $1,365.00 / $5,091.00	Facility		$336.76	$1,365.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.17 / $194.77 / $336.76	Professional		$166.17	$194.77	$336.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,770.47 / $2,486.03 / $4,554.35	Facility		$1,770.47	$2,486.03	$4,554.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $233.24 / $322.51 / $394.91	Professional		$233.24	$322.51	$394.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $1,279.13 / $1,428.00	Facility		$463.00	$1,279.13	$1,428.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.78 / $281.10 / $395.63	Professional		$198.78	$281.10	$395.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $225.76 / $322.76 / $892.81	Professional		$225.76	$322.76	$892.81
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 $239.53 / $244.57 / $270.70	Professional		$239.53	$244.57	$270.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $306.10	Professional		$32.34	$32.34	$306.10
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 $170.33 / $230.07 / $405.10	Professional		$170.33	$230.07	$405.10