Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.23 / $1,169.00 / $4,634.00	Facility		$258.23	$1,169.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.30 / $150.57 / $259.42	Professional		$127.30	$150.57	$259.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $330.07 / $1,614.24 / $3,520.88	Facility		$330.07	$1,614.24	$3,520.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.88 / $254.27 / $311.19	Professional		$183.88	$254.27	$311.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $250.87 / $280.07 / $480.00	Facility		$250.87	$280.07	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.51 / $221.62 / $311.91	Professional		$142.51	$221.62	$311.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $163.06 / $251.21 / $1,176.24	Professional		$163.06	$251.21	$1,176.24
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 $184.63 / $191.18 / $215.14	Professional		$184.63	$191.18	$215.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $243.27	Professional		$32.34	$32.34	$243.27
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 $132.49 / $184.90 / $315.83	Professional		$132.49	$184.90	$315.83