Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $333.35 / $1,055.00 / $4,634.00	Facility		$333.35	$1,055.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.96 / $191.21 / $333.35	Professional		$161.96	$191.21	$333.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $330.07 / $2,066.85 / $4,508.07	Facility		$330.07	$2,066.85	$4,508.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.60 / $324.39 / $399.78	Professional		$234.60	$324.39	$399.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $230.99 / $230.99 / $257.87	Facility		$230.99	$230.99	$257.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.21 / $282.74 / $398.01	Professional		$180.21	$282.74	$398.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $209.50 / $319.24 / $658.42	Professional		$209.50	$319.24	$658.42
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 $237.47 / $244.13 / $272.27	Professional		$237.47	$244.13	$272.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $307.88	Professional		$32.34	$32.34	$307.88
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 $167.81 / $233.06 / $399.12	Professional		$167.81	$233.06	$399.12