Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $300.70 / $1,055.00 / $4,634.00	Facility		$300.70	$1,055.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.62 / $227.88 / $399.73	Professional		$147.62	$227.88	$399.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,605.23 / $2,280.10 / $3,734.25	Facility		$1,605.23	$2,280.10	$3,734.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.97 / $291.93 / $493.78	Professional		$192.97	$291.93	$493.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $317.22 / $354.14 / $480.00	Facility		$317.22	$354.14	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.95 / $287.70 / $463.92	Professional		$181.95	$287.70	$463.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $219.06 / $364.88 / $617.91	Professional		$219.06	$364.88	$617.91
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 $193.32 / $203.41 / $338.82	Professional		$193.32	$203.41	$338.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $383.13	Professional		$32.34	$32.34	$383.13
United Facility/Professional Facility Modifier Low / Median / High Price $807.00 / $1,905.00 / $4,342.00	Facility		$807.00	$1,905.00	$4,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $234.51 / $318.56 / $534.63	Professional		$234.51	$318.56	$534.63