Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $262.94 / $813.00 / $4,432.00	Facility		$262.94	$813.00	$4,432.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.62 / $237.85 / $424.32	Professional		$141.62	$237.85	$424.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,564.45 / $2,280.10 / $3,639.39	Facility		$1,564.45	$2,280.10	$3,639.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $184.17 / $303.89 / $513.84	Professional		$184.17	$303.89	$513.84
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 $160.38 / $269.48 / $462.65	Professional		$160.38	$269.48	$462.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $367.19 / $728.01	Professional		$200.00	$367.19	$728.01
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 $185.46 / $194.35 / $352.69	Professional		$185.46	$194.35	$352.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $398.81	Professional		$32.34	$32.34	$398.81
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 $206.91 / $298.27 / $555.11	Professional		$206.91	$298.27	$555.11