Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $383.00 / $1,055.00 / $4,634.00	Facility		$383.00	$1,055.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.49 / $268.81 / $472.85	Professional		$223.49	$268.81	$472.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,918.54 / $2,960.50 / $6,086.66	Facility		$1,918.54	$2,960.50	$6,086.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.93 / $373.24 / $516.53	Professional		$269.93	$373.24	$516.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $277.57 / $277.57 / $309.87	Facility		$277.57	$277.57	$309.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.03 / $361.47 / $545.78	Professional		$253.03	$361.47	$545.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $289.18 / $414.78 / $1,119.66	Professional		$289.18	$414.78	$1,119.66
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 $284.60 / $288.82 / $348.11	Professional		$284.60	$288.82	$348.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $393.64	Professional		$32.34	$32.34	$393.64
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 $268.61 / $356.57 / $625.54	Professional		$268.61	$356.57	$625.54