Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $444.45 / $1,305.00 / $4,961.00	Facility		$444.45	$1,305.00	$4,961.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.25 / $294.83 / $545.98	Professional		$209.25	$294.83	$545.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $330.07 / $2,703.09 / $5,895.79	Facility		$330.07	$2,703.09	$5,895.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $300.54 / $415.58 / $654.91	Professional		$300.54	$415.58	$654.91
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 $267.72 / $403.57 / $608.53	Professional		$267.72	$403.57	$608.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $329.33 / $490.60 / $1,321.98	Professional		$329.33	$490.60	$1,321.98
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 $277.81 / $313.55 / $452.05	Professional		$277.81	$313.55	$452.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $511.16	Professional		$32.34	$32.34	$511.16
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 $286.11 / $390.60 / $671.60	Professional		$286.11	$390.60	$671.60