Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.69 / $1,731.00 / $5,091.00	Facility		$247.69	$1,731.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.96 / $132.94 / $258.58	Professional		$107.96	$132.94	$258.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,336.28 / $2,202.15 / $3,108.60	Facility		$1,336.28	$2,202.15	$3,108.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $196.43 / $271.62 / $319.31	Professional		$196.43	$271.62	$319.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $1,631.14 / $1,820.98	Facility		$620.00	$1,631.14	$1,820.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.91 / $230.83 / $293.58	Professional		$135.91	$230.83	$293.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $176.33 / $266.19 / $540.30	Professional		$176.33	$266.19	$540.30
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 $167.43 / $197.74 / $227.98	Professional		$167.43	$197.74	$227.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $257.79	Professional		$32.34	$32.34	$257.79
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 $122.13 / $167.22 / $293.56	Professional		$122.13	$167.22	$293.56