Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $293.81 / $1,338.40 / $4,634.00	Facility		$293.81	$1,338.40	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.12 / $270.06 / $499.84	Professional		$148.12	$270.06	$499.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,641.45 / $2,302.30 / $3,818.51	Facility		$1,641.45	$2,302.30	$3,818.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.65 / $328.05 / $580.08	Professional		$194.65	$328.05	$580.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $1,378.17 / $1,538.56	Facility		$620.00	$1,378.17	$1,538.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.47 / $303.98 / $522.29	Professional		$173.47	$303.98	$522.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $221.84 / $428.33 / $950.37	Professional		$221.84	$428.33	$950.37
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 $192.91 / $203.16 / $401.00	Professional		$192.91	$203.16	$401.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $462.69	Professional		$32.34	$32.34	$462.69
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 $266.16 / $369.82 / $609.04	Professional		$266.16	$369.82	$609.04