Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $307.37 / $1,169.00 / $4,634.00	Facility		$307.37	$1,169.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.34 / $253.43 / $472.11	Professional		$140.34	$253.43	$472.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,701.08 / $2,313.88 / $3,957.22	Facility		$1,701.08	$2,313.88	$3,957.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.21 / $343.30 / $582.95	Professional		$204.21	$343.30	$582.95
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 $181.53 / $306.56 / $513.74	Professional		$181.53	$306.56	$513.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $228.96 / $424.90 / $691.79	Professional		$228.96	$424.90	$691.79
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 $200.82 / $212.60 / $403.49	Professional		$200.82	$212.60	$403.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $456.26	Professional		$32.34	$32.34	$456.26
United Facility/Professional Facility Modifier Low / Median / High Price $807.00 / $1,763.00 / $4,256.00	Facility		$807.00	$1,763.00	$4,256.00
United Facility/Professional Professional Modifier Low / Median / High Price $233.49 / $342.30 / $618.70	Professional		$233.49	$342.30	$618.70