Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $310.08 / $1,169.00 / $4,634.00	Facility		$310.08	$1,169.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.80 / $270.75 / $492.47	Professional		$153.80	$270.75	$492.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,716.54 / $3,430.97 / $5,131.55	Facility		$1,716.54	$3,430.97	$5,131.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $205.31 / $345.28 / $601.65	Professional		$205.31	$345.28	$601.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $2,338.66 / $2,610.83	Facility		$463.00	$2,338.66	$2,610.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.58 / $310.88 / $534.89	Professional		$182.58	$310.88	$534.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $230.29 / $436.66 / $953.30	Professional		$230.29	$436.66	$953.30
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 $202.06 / $213.84 / $416.38	Professional		$202.06	$213.84	$416.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $470.83	Professional		$32.34	$32.34	$470.83
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 $255.60 / $353.58 / $643.08	Professional		$255.60	$353.58	$643.08