Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $285.02 / $1,486.00 / $4,634.00	Facility		$285.02	$1,486.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.69 / $193.15 / $339.93	Professional		$150.69	$193.15	$339.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $610.47 / $1,679.33 / $3,906.64	Facility		$610.47	$1,679.33	$3,906.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.19 / $343.60 / $432.16	Professional		$204.19	$343.60	$432.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $531.28 / $593.11 / $643.00	Facility		$531.28	$593.11	$643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.22 / $260.01 / $391.33	Professional		$160.22	$260.01	$391.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $204.75 / $321.45 / $924.19	Professional		$204.75	$321.45	$924.19
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 $207.01 / $212.80 / $298.49	Professional		$207.01	$212.80	$298.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $337.53	Professional		$32.34	$32.34	$337.53
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $891.00 / $3,685.00	Facility		$165.00	$891.00	$3,685.00
United Facility/Professional Professional Modifier Low / Median / High Price $177.01 / $251.37 / $427.83	Professional		$177.01	$251.37	$427.83