Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $383.00 / $1,055.00 / $4,634.00	Facility		$383.00	$1,055.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.91 / $228.24 / $418.08	Professional		$188.91	$228.24	$418.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $330.07 / $2,417.42 / $5,272.72	Facility		$330.07	$2,417.42	$5,272.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $274.17 / $379.11 / $486.13	Professional		$274.17	$379.11	$486.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $250.87 / $250.87 / $280.07	Facility		$250.87	$250.87	$280.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.40 / $330.44 / $467.59	Professional		$205.40	$330.44	$467.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $254.74 / $376.11 / $885.57	Professional		$254.74	$376.11	$885.57
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 $277.19 / $285.70 / $335.40	Professional		$277.19	$285.70	$335.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $379.26	Professional		$32.34	$32.34	$379.26
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 $212.30 / $287.86 / $493.97	Professional		$212.30	$287.86	$493.97