Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $438.41 / $2,095.00 / $5,393.00	Facility		$438.41	$2,095.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.62 / $219.53 / $438.41	Professional		$200.62	$219.53	$438.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,418.46 / $3,034.16 / $6,075.90	Facility		$1,418.46	$3,034.16	$6,075.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.37 / $380.78 / $466.64	Professional		$275.37	$380.78	$466.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $709.00 / $735.00	Facility		$709.00	$709.00	$735.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.67 / $331.89 / $494.17	Professional		$232.67	$331.89	$494.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $270.42 / $389.03 / $997.85	Professional		$270.42	$389.03	$997.85
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 $261.33 / $288.99 / $319.58	Professional		$261.33	$288.99	$319.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $361.38	Professional		$32.34	$32.34	$361.38
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 $219.80 / $302.31 / $521.25	Professional		$219.80	$302.31	$521.25